Exophytic Atheroma Mimicking Papillary Fibroelastoma Adjacent to the Aortic Valve.
Follow-up echocardiography in a 69-year-old man with alcoholic cardiomyopathy showed a mass above the aortic valve near the left coronary ostium. Transesophageal echocardiography and computed tomography suggested a papillary fibroelastoma with a high risk of embolism. At operation we found an exophytic atheroma adjacent to the left coronary artery orifice. The atheroma was removed, and the patient made an uneventful recovery. We describe this very rare case of an exophytic atheroma mimicking a papillary fibroelastoma situated at the left coronary orifice.
Department of Cardiovascular Surgery, Kanagawa Cardiovascular and Respiratory Center, Yokohama, Japan.
Tomoki
T
Cho
Department of Cardiovascular Surgery, Kanagawa Cardiovascular and Respiratory Center, Yokohama, Japan. Electronic address: tokunaga@kanagawa-junko.jp.
Shigehiko
S
Tokunaga
Department of Cardiovascular Center, Yokohama City University Medical Center, Yokohama, Japan.
Shota
S
Yasuda
Department of Cardiovascular Surgery, Kanagawa Cardiovascular and Respiratory Center, Yokohama, Japan.
Ryo
R
Izubuchi
Department of Surgery, Yokohama City University, Yokohama, Japan.
Munetaka
M
Masuda
D000368:Aged; D001021:Aortic Valve; D003937:Diagnosis, Differential; D006338:Heart Neoplasms / Q000175:diagnosis*; D006349:Heart Valve Diseases / Q000175:diagnosis*; D006801:Humans; D008297:Male; D058226:Plaque, Atherosclerotic / Q000175:diagnosis*