Cardiac papillary fibroelastoma presenting with recurrent ventricular tachycardia.
A 72-year-old man presented with multiple episodes of pulseless ventricular tachycardia, 10 days following an ST-segment elevation myocardial infarction. He had a 6-year cardiovascular history that included four neurological events and two myocardial infarctions. Transesophageal echocardiography revealed two mobile masses on the aortic valve. A transaortic surgical approach was successful in removing both masses. Histology confirmed papillary fibroelastoma. The patient subsequently received an implantable cardioverter defibrillator.
Asrress
Kaleab N
KN
Department of Cardiology, John Radcliffe Hospital, Oxford, UK. kasrress@hotmail.com
Mitchell
Andrew R
AR
Evans
Betsy
B
Westaby
Stephen
S
Alp
Nicholas J
NJ
D000368:Aged; D005350:Fibroma / Q000150:complications*; D006338:Heart Neoplasms / Q000150:complications*; D006801:Humans; D008297:Male; D012008:Recurrence; D017180:Tachycardia, Ventricular / Q000209:etiology*