Surgical treatment for papillary fibroelastoma of the aortic valve.
Although cardiac papillary fibroelastomas are benign tumors, they have the potential to cause life-threatening complications such as stroke and myocardial infarction and may even lead to sudden cardiac death. We report a case of surgical treatment for a papillary fibroelastoma of the aortic valve. The patient was a 62-year-old woman who was asymptomatic for cardiac papillary fibroelastoma. Echocardiography demonstrated a mobile, rounded mass on the left coronary cusp of the aortic valve. The patient underwent surgical excision, had an uneventful recovery, and was discharged 10 days after the operation. Pathology examination confirmed papillary fibroelastoma. Surgical excision of the tumor is recommended for patients with symptoms, but the treatment of asymptomatic patients is controversial. We believe that surgical treatment should be performed if the tumor is mobile.
Sasaki
Akinobu
A
Department of Cardiovascular Surgery, Tsukuba Medical Center Hospital, 1-3-1 Amakubo, Tsukuba, Ibaraki, 305-8558, Japan. a.sasa@nifty.com
Sato
Masataka
M
Jikuya
Tomoaki
T
D001021:Aortic Valve / Q000601:surgery; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass; D017548:Echocardiography, Transesophageal; D005260:Female; D005350:Fibroma / Q000175:diagnosis / Q000601:surgery*; D006338:Heart Neoplasms / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D033162:Incidental Findings; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome