Transesophageal echocardiographic localization of an aortic valve papillary fibroelastoma during routine coronary artery bypass surgery.
Papillary fibroelastomas are rare, primary cardiac tumors most often diagnosed incidentally at autopsy. These tumors have been associated with embolism, neurologic injury, coronary ischemia and sudden death. We report a case of clinical detection of an asymptomatic aortic valve papillary fibroelastoma by transesophageal echocardiography. The mass was an incidental finding during routine coronary artery bypass surgery. This finding dictated a change in the operative approach to include resection of the aortic valve mass in addition to coronary revascularization.
Autz
L
L
New York Hospital-Cornell Medical Center, Division of Cardiothoracic Surgery, NY 10021, USA.
Krieger
K H
KH
Yao
F S
FS
D000368:Aged; D001021:Aortic Valve / Q000000981:diagnostic imaging* / Q000473:pathology; D003238:Connective Tissue / Q000473:pathology; D001026:Coronary Artery Bypass; D017548:Echocardiography, Transesophageal; D004547:Elastic Tissue / Q000473:pathology; D005350:Fibroma / Q000000981:diagnostic imaging* / Q000473:pathology; D006338:Heart Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging* / Q000473:pathology; D006801:Humans; D008297:Male; D018084:Ultrasonography, Interventional