Abstract
A 70-year-old woman without any previous history of heart disease was referred to our hospital for repeated chest discomfort. She had experienced temporary hemiparesis because of a cerebral infarction of unknown etiology. Clinical evaluations were all within normal limits except for echocardiography. There was a mobile tumor in her ascending aorta, about 15 mm in diameter, adhering to a part of the right coronary cusp on its aortic side. Urgent surgery was performed. The tumor was attached to the edge of the right coronary cusp and excised with a part of the right coronary cusp, which was then repaired. Histological examination revealed the tumor to be a papillary fibroelastoma. The chest discomfort responsible for admission disappeared after the operation. In patients with events that may be embolic in nature and are not explained by other cardiovascular or neurological diseases, a cardiac source of emboli should be considered.
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References
Sydow K, Willems S, Reichenspurner H, Meinertz T. Papillary fibroelastomas of the heart. Thorac Cardiovasc Surg 2008;56:9–13.
Reynen K. Frequency of primary tumors of the heart. Am J Cardiol 1996;77:107.
Gowda RM, Khan IA, Nair CK, Mehta NJ, Vasavada BC, Sacchi TJ. Cardiac papillary fibroelastoma: a comprehensive analysis of 725 cases. Am Heart J 2003;146:404–410.
Sun JP, Asher CR, Yang XS, Cheng GG, Scalia GM, Massed AG, et al. Clinical and echocardiographic characteristics of papillary fibroelastomas: a retrospective and prospective study in 162 patients. Circulation 2001;103:2687–2693.
Edwards FH, Hale D, Cohen A, Thompson L, Pezzella AT, Virmani R. Primary cardiac valve tumors. Ann Thorac Surg 1991;52:1127–1131.
Ngaage DL, Mullany CJ, Daly RC, Dearani JA, Edwards WD, Tazelaar HD, et al. Surgical treatment of cardiac papillary fibroelastoma: a single center experience with eighty-eight patients. Ann Thorac Surg 2005;80:1712–1718.
Sumino S, Paterson HS. No regrowth after incomplete papillary fibroelastoma excision. Ann Thorac Surg 2005;79:e3–e4.
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Sugimoto, A., Ohzeki, H., Aoki, K. et al. A papillary fibroelastoma of the aortic valve that presented with repeated chest pain. Gen Thorac Cardiovasc Surg 58, 630–632 (2010). https://doi.org/10.1007/s11748-010-0585-z
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DOI: https://doi.org/10.1007/s11748-010-0585-z