Papillary fibroelastoma of the aortic valve and coronary artery disease visualized by 64-slice CT.
BACKGROUND
A 75-year-old male with a history of myocardial infarction and recent transient ischemic attack was referred to a cardiology clinic for preoperative evaluation before a cystectomy. Transthoracic and transesophageal echocardiography revealed a mobile mass on the right coronary cusp of the aortic valve. Multislice CT demonstrated a significant narrowing in the proximal left anterior descending coronary artery.


METHODS
Physical examination, chest radiography, laboratory testing, electrocardiography, transthoracic and transesophageal echocardiography, multislice-CT coronary angiography, pathological and histological examination of the surgically excised tissue.


METHODS
Papillary fibroelastoma of the aortic valve in conjunction with coronary artery disease.


RESULTS
Surgical excision of the mobile lesion and an end-to-side anastomosis of the left internal mammary artery to the left anterior descending coronary artery.
de Visser
Randall N
RN
Erasmus Medical Center, Department of Cardiology, Rotterdam, the Netherlands.
van Mieghem
Carlos
C
van Pelt
Niels C
NC
Weustink
Annick C
AC
Kerker
Jacques P
JP
Galema
Tjebbe W
TW
D000368:Aged; D001021:Aortic Valve / Q000473:pathology*; D003324:Coronary Artery Disease / Q000150:complications* / Q000000981:diagnostic imaging* / Q000473:pathology / Q000503:physiopathology; D004695:Endocardial Fibroelastosis / Q000150:complications* / Q000000981:diagnostic imaging* / Q000473:pathology / Q000503:physiopathology; D006801:Humans; D008297:Male; D010210:Papillary Muscles / Q000473:pathology*; D011859:Radiography