title: [Papillary fibroelastoma of the left ventricular outflow tract complicated with acute coronary syndrome; report of a case].
abstract: We experienced a case of papillary fibroelastoma (PFE) that was incidentally diagnosed along with acute coronary syndrome( ACS). An 83-year-old female with paralysis of the left leg was diagnosed with acute coronary syndrome(ACS) based on an increased level of cardiac troponin I and ST elevation in the chest lead on electrocardiogram(ECG). On an echocardiogram, the patient was found to have a mobile mass that was likely to be a cardiac tumor. Coronary angiography showed 99% stenosis in the middle left anterior descending coronary artery. We performed emergent coronary aortic bypass graft(CABG) and excision of the tumor. The tumor was attached to the left ventricular outflow tract wall beneath the right coronary cusp with a sea anemone appearance. The histopathological findings revealed a papillary fibroelastoma. The patient's postoperative course was uneventful.
authors.affiliation: Department of Cardiovascular Surgery, Fukuyama Cardiovascular Hospital, Fukuyama, Japan.
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Yamane
authors.forename: Toshifumi
authors.initials: T
authors.lastname: Hiraoka
authors.forename: Hironobu
authors.initials: H
authors.lastname: Morimoto
authors.forename: Shogo
authors.initials: S
authors.lastname: Mukai
mesh_terms: D054058:Acute Coronary Syndrome / Q000150:complications / Q000601:surgery*; D000369:Aged, 80 and over; D017023:Coronary Angiography; D017548:Echocardiography, Transesophageal; D005260:Female; D005350:Fibroma / Q000150:complications / Q000601:surgery*; D006338:Heart Neoplasms / Q000150:complications / Q000601:surgery*; D006349:Heart Valve Diseases / Q000150:complications / Q000473:pathology / Q000601:surgery*; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans