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Eur J Cardiothorac Surg 2003;24:639
© 2003 Elsevier Science NL

Images in cardio-thoracic surgery

Fibroelastoma of the aortic valve causing drop attack

Torsten Bossert*, Ralf Krakor, Jens Garbade, Friedrich Wilhelm Mohr

Department of Cardiac Surgery, University of Leipzig, Heart Center GmbH, Strümpellstrasse 39, 04289 Leipzig, Germany

Received 21 May 2003; received in revised form 22 June 2003; accepted 26 June 2003.

* Corresponding author. Tel.: +49-341-865-1421; fax: +49-341-865-1452
e-mail: tbossert11{at}aol.com

Key Words: Papillary fibroelastoma • Aortic valve • Heart neoplasms • Drop attack

A 77-year-old healthy woman presented with a drop attack. Transesophageal echocardiography clarified the diagnosis of a mobile pedunculated mass adjacent to the free margin of right coronary cusp of the aortic valve near the commissure between the right and the acoronar cusp with the tendency to prolaps into the right coronary ostium as the cause for the patient's symptoms (Fig. 1) . Complete surgical removal of the tumor was possible without replacement of the aortic valve. Histologic investigation revealed the diagnosis of a papillary fibroelastoma (Fig. 2) .



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  		Fig. 1. Transoesophageal echocardiography showing the tumor in the ascending aorta directly above the aortic valve with a diameter of approximately 1 cm (A); and the intraoperative view (B).

 


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  		Fig. 2. Photo of the excised tumor (A); and histological investigation (B).

 



This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
T. Bossert, J. F. Gummert, and F. Mohr
Papillary Fibroelastomas and Other Cardiac Tumors Should Be Resected on an Urgent Basis
Ann. Thorac. Surg., February 1, 2005; 79(2): 756 - 756.
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