Papillary fibroelastoma of the aortic valve and coronary artery disease visualized by 64-slice CT

Abstract

Surgical excision of the mobile lesion and an end-to-side anastomosis of the left internal mammary artery to the left anterior descending coronary artery.

Cardiac Papillary Fibroelastoma Presented as Angina: A Case Report

“…The diagnosis in living patients was rare before the introduction of echocardiography [15]. With the development of radiological technology, computed tomography scans(CT) or magnetic resonance imaging(MRI) has been introduced a limited use of diagnosing this tumor [16,17]. Above all these techniques, echocardiography has been de ned as a convenient and noninvasive way to diagnose and should be the rst choice of tests to search for cardiac papillary broelastoma which can be demonstrated as a pedunculated, mobile and echodense mass.…”

Evaluation of valvular disease by cardiac computed tomography assessment

“…For example, MDCT can help distinguish between a pedunculated papillary fibroelastoma and a thrombus by elucidating the tumor's lobulated contour and thin stalk. 41 Moreover, it appears that even with small and mobile papillary fibroelastomas, visualization is possible with MDCT. [41][42][43] Although echocardiography may still be a first-line diagnostic tool, MDCT can be an important adjunct imaging tool in evaluating valvular and cardiac tumors, with its ability to visualize the extent of tumor infiltration to optimize surgical resection strategies ( Fig.…”

Papillary Fibroelastoma: Insight to a Primary Cardiac Valve Tumor

“…The embolic mechanism is supposedly related to the disruption of the tumor or the embolization of fibrin fragments adherent to the papillary surface, even though tumor fragments have been isolated from embolic material 7,9,10,12,31‐33 . PFEs located in left heart chambers may cause systemic and peripheral embolization, including the retinal, coronary, mesenteric, renal, and limb arteries 7,9,10,12,33‐35 . Cerebrovascular accidents are the most frequent events, accounting for 15% to 25% of all PFE symptoms 8‐11 .…”

“…7,9,10,12,[31][32][33] PFEs located in left heart chambers may cause systemic and peripheral embolization, including the retinal, coronary, mesenteric, renal, and limb arteries. 7,9,10,12,[33][34][35] Cerebrovascular accidents are the most frequent events, accounting for 15% to 25% of all PFE symptoms. [8][9][10][11] In a recent meta-analysis of 725 patients, Gowda et al 7 found that transient ischemic attack and stroke occurred in 120 cases.…”