Cargando…

Papillary fibroelastoma of the aortic valve - a case report and literature review

The prevalence of primary cardiac tumour ranges from 0.0017-0.28% and papillary fibroelastoma is rare but not uncommon benign cardiac neoplasm. Currently, with the advent of higher-resolution imaging technology especially transoesophageal echocardiography such cases being recognized frequently. The...

Descripción completa

Detalles Bibliográficos
Autores principales: Jha, Neerod K, Khouri, Michael, Murphy, Donogh M, Salustri, Alessandro, Khan, Javed A, Saleh, Moataz A, Von Canal, Friederike, Augustin, Norbert
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2965711/
https://www.ncbi.nlm.nih.gov/pubmed/20950491
http://dx.doi.org/10.1186/1749-8090-5-84
_version_ 1782189530117308416
author Jha, Neerod K
Khouri, Michael
Murphy, Donogh M
Salustri, Alessandro
Khan, Javed A
Saleh, Moataz A
Von Canal, Friederike
Augustin, Norbert
author_facet Jha, Neerod K
Khouri, Michael
Murphy, Donogh M
Salustri, Alessandro
Khan, Javed A
Saleh, Moataz A
Von Canal, Friederike
Augustin, Norbert
author_sort Jha, Neerod K
collection PubMed
description The prevalence of primary cardiac tumour ranges from 0.0017-0.28% and papillary fibroelastoma is rare but not uncommon benign cardiac neoplasm. Currently, with the advent of higher-resolution imaging technology especially transoesophageal echocardiography such cases being recognized frequently. The clinical presentation of these tumours varies from asymptomatic to severe ischaemic or embolic complications. We herein, present a 50-year-old female patient with a papillary fibroelastoma of the aortic valve arising from the endocardium of the right coronary cusp very close to the commissure between the right and non-coronary cusps. The patient presented with angina-like chest pain and was investigated using echocardiography and CT angiographic modalities in addition to the usual investigations. The differential diagnosis considered was a thrombus, myxoma, Lambl's excrescence and infective vegetation. The surgical management included a prompt resection of the tumour on cardiopulmonary bypass avoiding injury to the aortic valve. The patient recovered well. A review of the literature suggests that the cardiac papillary fibroelastoma is a rare but potentially treatable cause of embolic stroke and other fatal complications, therefore, a strong suspicion; appropriate use of imaging modality, preoperative anticoagulation and urgent surgical resection is warranted. Also, possibility of this diagnosis should be kept in mind while managing cardiac or valvular tumours.
format Text
id pubmed-2965711
institution National Center for Biotechnology Information
language English
publishDate 2010
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-29657112010-10-29 Papillary fibroelastoma of the aortic valve - a case report and literature review Jha, Neerod K Khouri, Michael Murphy, Donogh M Salustri, Alessandro Khan, Javed A Saleh, Moataz A Von Canal, Friederike Augustin, Norbert J Cardiothorac Surg Case Report The prevalence of primary cardiac tumour ranges from 0.0017-0.28% and papillary fibroelastoma is rare but not uncommon benign cardiac neoplasm. Currently, with the advent of higher-resolution imaging technology especially transoesophageal echocardiography such cases being recognized frequently. The clinical presentation of these tumours varies from asymptomatic to severe ischaemic or embolic complications. We herein, present a 50-year-old female patient with a papillary fibroelastoma of the aortic valve arising from the endocardium of the right coronary cusp very close to the commissure between the right and non-coronary cusps. The patient presented with angina-like chest pain and was investigated using echocardiography and CT angiographic modalities in addition to the usual investigations. The differential diagnosis considered was a thrombus, myxoma, Lambl's excrescence and infective vegetation. The surgical management included a prompt resection of the tumour on cardiopulmonary bypass avoiding injury to the aortic valve. The patient recovered well. A review of the literature suggests that the cardiac papillary fibroelastoma is a rare but potentially treatable cause of embolic stroke and other fatal complications, therefore, a strong suspicion; appropriate use of imaging modality, preoperative anticoagulation and urgent surgical resection is warranted. Also, possibility of this diagnosis should be kept in mind while managing cardiac or valvular tumours. BioMed Central 2010-10-17 /pmc/articles/PMC2965711/ /pubmed/20950491 http://dx.doi.org/10.1186/1749-8090-5-84 Text en Copyright ©2010 Jha et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Jha, Neerod K
Khouri, Michael
Murphy, Donogh M
Salustri, Alessandro
Khan, Javed A
Saleh, Moataz A
Von Canal, Friederike
Augustin, Norbert
Papillary fibroelastoma of the aortic valve - a case report and literature review
title Papillary fibroelastoma of the aortic valve - a case report and literature review
title_full Papillary fibroelastoma of the aortic valve - a case report and literature review
title_fullStr Papillary fibroelastoma of the aortic valve - a case report and literature review
title_full_unstemmed Papillary fibroelastoma of the aortic valve - a case report and literature review
title_short Papillary fibroelastoma of the aortic valve - a case report and literature review
title_sort papillary fibroelastoma of the aortic valve - a case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2965711/
https://www.ncbi.nlm.nih.gov/pubmed/20950491
http://dx.doi.org/10.1186/1749-8090-5-84
work_keys_str_mv AT jhaneerodk papillaryfibroelastomaoftheaorticvalveacasereportandliteraturereview
AT khourimichael papillaryfibroelastomaoftheaorticvalveacasereportandliteraturereview
AT murphydonoghm papillaryfibroelastomaoftheaorticvalveacasereportandliteraturereview
AT salustrialessandro papillaryfibroelastomaoftheaorticvalveacasereportandliteraturereview
AT khanjaveda papillaryfibroelastomaoftheaorticvalveacasereportandliteraturereview
AT salehmoataza papillaryfibroelastomaoftheaorticvalveacasereportandliteraturereview
AT voncanalfriederike papillaryfibroelastomaoftheaorticvalveacasereportandliteraturereview
AT augustinnorbert papillaryfibroelastomaoftheaorticvalveacasereportandliteraturereview