title: Double papillary fibroelastoma: beautiful, innocent flowers in the left heart.
abstract: Papillary fibroelastoma is a rare, benign tumor, and multiple papillary fibroelastomas are even more uncommon. In an asymptomatic patient scheduled for carotid endarterectomy, transthoracic echocardiography discovered a fibroelastoma on the mitral valve. Then, transesophageal echocardiography showed another fibroelastoma on the aortic valve. Because he also needed a right coronary artery bypass, the patient underwent surgical excision of both masses. Fibroelastomas are not always as innocent as they seem, and surgical excision is necessary because of their potential for systemic or coronary embolization. Transoesophageal echocardiography may improve the diagnosis of multiple papillary fibroelastomas.
authors.affiliation: CHU Mont-Godinne, Université Catholique de Louvain, 1 Avenue Gaston Therasse, 5530, Yvoir, Belgium; III Medical Clinic, Sf. Spiridon University Hospital, and Gr. T. Popa University of Medicine and Pharmacy, Iasi, Romania.
authors.forename: Mariana
authors.initials: M
authors.lastname: Floria
authors.forename: Marina
authors.initials: M
authors.lastname: Gerard
authors.forename: Yves
authors.initials: Y
authors.lastname: Louagie
authors.forename: Birgit
authors.initials: B
authors.lastname: Weynand
authors.forename: Erwin
authors.initials: E
authors.lastname: Schroeder
mesh_terms: D000368:Aged; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000601:surgery; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal / Q000379:methods*; D005350:Fibroma / Q000000981:diagnostic imaging* / Q000601:surgery; D005500:Follow-Up Studies; D006338:Heart Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery; D016896:Treatment Outcome
keywords: aortic valve; echocardiography; fibroelastoma; mitral valve