Abstract
Papillary fibroelastoma: an unexpected finding on the aortic valve.
Highlights
The patient was not taking any medications. He was hypertensive to 210/120 mmHg and was admitted for hypertensive emergency with myocardial ischemia
The prevalence estimate given by McAllister and Fenoglio [2] was based on autopsy findings, whereas Tamin et al [2] showed results from many patients who were diagnosed on echocardiogram [2, 3]
The findings of Hoffmeier et al [1] favored higher prevalence of myxoma compared to papillary fibroelastoma; those tumors were diagnosed in living patients as well
Summary
A 50-year-old man presented in May of 2020 with a chief complaint of chest pain. His past medical history was significant for tobacco use, hypertension, and angioplasty to D1 in 2011, along with a drug-eluting stent to the left circumflex coronary artery in 2014. Differential diagnosis included a bacterial vegetation, thrombus, cardiac tumors such as a papillary fibroelastoma (PFE) or myxoma, and noninfectious etiologies such as Libman–Sacks endocarditis. A decision was made to pursue computed tomography angiography (CTA) of the coronary arteries as the initial study in the evaluation of the patient’s myocardial ischemia, due to the risk of potential catheter-associated embolization of the echodense structure on the aortic valve. A preoperative transesophageal echocardiogram (TEE) showed, again, the echodensity on the ventricular side of the aortic valve (Image A).
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
