Papillary fibroelastoma of the aortic valve presenting with myocardial infarction.
We describe the case of a 56-year-old woman who presented with myocardial infarction. Noninvasive and invasive investigations revealed coronary embolism from a papillary tumor attached to the right coronary cusp of the aortic valve as the underlying process. The tumor, which histologically proved to be a papillary fibroelastoma, was excised surgically and the resulting defect in the aortic valve leaflet was closed with a patch of autologous pericardium, effectively reconstructing the aortic valve. The current literature on intracardiac papillary fibroelastoma as a source of embolism and its surgical treatment is summarized.
Eckstein
F S
FS
Division of Thoracic and Cardiovascular Surgery, Hannover Medical School, Germany.
Schäfers
H J
HJ
Grote
J
J
Mügge
A
A
Borst
H G
HG
D001021:Aortic Valve; D005260:Female; D005350:Fibroma / Q000150:complications* / Q000601:surgery; D006338:Heart Neoplasms / Q000150:complications* / Q000601:surgery; D006349:Heart Valve Diseases / Q000150:complications / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology*