An uncommon cause of coronary artery ostial obstruction: papillary fibroelastoma.
Cardiac papillary fibroelastoma is a benign tumor that mainly affects cardiac valves. The tumor has the potential to cause angina and myocardial infarction due to embolization of tumor fragments. We describe a rare case of right coronary artery ostial obstruction by a 12 x 19 mm sized papillary fibroelastoma located in the sinus of Valsalva. The report underlies the importance of echocardiography in diagnosis and intraoperative treatment of this type of cardiac mass.
Erdoes
Gabor
G
Department of Anesthesiology and Pain Therapy, University Hospital Bern, CH-3010 Bern, Switzerland. Gabor.Erdoes@insel.ch
Stalder
Mario
M
Basciani
Reto
R
Gugger
Mathias
M
Carrel
Thierry
T
Eberle
Balthasar
B
D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000209:etiology* / Q000503:physiopathology; D003331:Coronary Vessels / Q000473:pathology*; D017548:Echocardiography, Transesophageal; D004695:Endocardial Fibroelastosis / Q000150:complications* / Q000175:diagnosis*; D005260:Female; D005350:Fibroma / Q000175:diagnosis*; D006338:Heart Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000503:physiopathology; D006351:Heart Valves / Q000473:pathology; D006801:Humans; D010210:Papillary Muscles / Q000503:physiopathology