[Myocardial infarction and severe mitral insufficiency. Presentation of an aortic fibroelastoma].
We report the case of a 75-year-old female with atypical chest pain followed by non-Q wave myocardial infarction. At coronary angiography and ventriculography severe left main stenosis and severe mitral regurgitation were evidenced. Transesophageal echocardiography, performed in order to evaluate a possible mitral repair, showed an aortic tumor (11 x 14 mm in diameter) attached to the commissure between the left and non-coronary cusp, without mitral regurgitation. Cardiac magnetic resonance showed a relationship between the tumor and the left coronary ostium which explained a paroxysmal mitral regurgitation. The tumor was surgically removed and the resulting defect in the aortic leaflet was reconstructed with an autologous pericardial patch. The tumor resulted to be a papillary fibroelastoma. The clinical course was uneventful.
Carrascal Hinojal
Yolanda
Y
Servicio de Cirugía Cardiaca, Instituto de Ciencias del Corazón (ICICOR), Hospital Universitario, Avda. Ramón y Cajal S/n 47003 Valladolid Spagna. aguerrerop@medynet.com
Di Stefano
Salvatore
S
Vega
José Luis
JL
Casquero
Elena
E
Ruiz de Temiño
Francisco
F
D000368:Aged; D001018:Aortic Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D004695:Endocardial Fibroelastosis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D005350:Fibroma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000209:etiology*; D009203:Myocardial Infarction / Q000209:etiology*; D019043:Vascular Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery