title: Papillary fibroelastoma of the aortic valve: An unusual cause of angina.
abstract: Papillary fibroelastoma of the aortic valve is an uncommon benign tumor of the heart that can present with embolic events. We report a case of 54-year-old lady with exertional chest pain and prior history of ST segment elevation myocardial infarction who was subsequently found to have a fibroelastoma of the aortic valve. The absence of angiographically significant coronary artery disease and resolution of anginal symptoms post-surgery in our patient points to the possibility of fibroelastoma causing these anginal symptoms. Although uncommon, fibroelastoma are being recognized more frequently with the help of transesophageal echocardiography. Hence, in the absence of significant coronary artery disease, we emphasize the importance of consideration of papillary fibroelastoma of the aortic valve as a cause of angina. We also discuss the key aspects of the fibroelastoma including presentation, diagnostic modalities and treatment options.
authors.affiliation: Madan Raj Aryal, Madan Badal, Naba Raj Mainali, Leena Jalota, Department of Medicine, Reading Health System, West Reading, PA 19611, United States.
authors.forename: Madan Raj
authors.initials: MR
authors.lastname: Aryal
authors.forename: Madan
authors.initials: M
authors.lastname: Badal
authors.forename: Naba Raj
authors.initials: NR
authors.lastname: Mainali
authors.forename: Leena
authors.initials: L
authors.lastname: Jalota
authors.forename: Rajesh
authors.initials: R
authors.lastname: Pradhan
keywords: Angina; Aortic valve; Embolic event; Papillary fibroelastoma; Surgical resection