Recurrent myocardial infarction due to obstruction of the RCA ostium by an aortic papillary fibroelastoma.
A 69-year-old healthy woman was hospitalized twice within a few weeks for management of acute inferior myocardial infarction with thrombolysis and stenting of the right coronary artery (RCA) ostium. After the second myocardial infarction, follow-up angiography showed subocclusion of the proximal RCA, and transesophageal echocardiography and chest computed tomography revealed the presence of a mobile, 2-cm diameter spherical mass partially adherent to the RCA ostium and penetrating the stent. A benign papillary fibroelastoma was surgically excised, the stent was removed, and vein bypass grafting of the RCA was performed. The literature relevant to this case report is reviewed.
Boulmier
Dominique
D
Departement de Cardiologie et Maladies Vasculaires, CHU Rennes, France. dominique.boulmier@chu-rennes.fr
Ecke
Jean-Emmanuel
JE
Verhoye
Jean-Philippe
JP
D000368:Aged; D017023:Coronary Angiography; D003327:Coronary Disease / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D004452:Echocardiography; D005260:Female; D005350:Fibroma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006338:Heart Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D009203:Myocardial Infarction / Q000209:etiology* / Q000601:surgery; D012008:Recurrence