[A case report of papillary fibroelastoma of the aortic valve].
A 69-year-old woman was referred to our hospital with an aortic valve tumor. She had shown signs of chronic heart failure due to atrial fibrillation and hypertension for 4 years. There was no history of thromboembolism such as stroke and myocardial infarction, unaccountable fever, weight loss, and systemic symptoms. With two-dimensional echocardiography, a cardiac valve tumor was detected during a routine examination for heart failure. Echocardiographic findings showed a homogeneous mass with a diameter of approximately 1.5 cm, fixed directly to the noncoronary aortic valve cusp. During the operation, a papillary neoplasm, 1.5 by 1 cm, was observed at the midportion of the left ventricular side of noncoronary cusp without a peduncle. The tumor was excised together with all cusps. A 21-mm SJM aortic valve was implanted in position, and thereafter she remained free from symptoms. Histopathological examination of the tumor revealed benign papillary fibroelastoma. Two-dimensional echocardiography was utilized for a diagnosis of the aortic papillary fibroelastoma.
Hirota
J
J
Department of Cardiovascular Surgery, Iwaki Kyoritsu General Hospital, Fukushima, Japan.
Akiyama
K
K
Ookado
A
A
Takiguchi
M
M
Oosawa
S
S
Hashimoto
A
A
D000368:Aged; D001021:Aortic Valve; D005260:Female; D005350:Fibroma / Q000601:surgery*; D006338:Heart Neoplasms / Q000601:surgery*; D006349:Heart Valve Diseases / Q000601:surgery; D006801:Humans; D010210:Papillary Muscles