Cardiac papillary fibroelastoma; when, how, why.
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Date
2016-01
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Abstract
We would like to present an interesting case operated on in our department and discuss the international
bibliography about this issue. We also present some interesting images of this case. Our material is
composed from a 68‑year‑old woman treated by the authors. She presented with a small murmur in the
auscultation while she was asymptomatic and then she diagnosed with a tumor on of the left coronary cusp
of the aortic valve with the characteristics of papillary fibroelastoma. On the basis of the potential embolic
risk either of the mass itself or of associated thrombus and the possibility of further enlargement, the patient
although asymptomatic at the time of diagnosis was referred for elective surgical excision of the mass. She
underwent on median sternotomy and through extracorporeal circulation the mass has been excised with
the preservation of the well‑functioning valve. Through this case, we would like to discuss the bibliography
for the decision making in these cases. Hence, the aim of our study is that we have to keep in mind that
this kind of friable mass may be the cause of embolism, stroke or coronary artery occlusion and must be
excided in a conservative setting, sparing the aortic valve.
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Keywords
Aortic insufficiency, Aortic valve, Cardiac tumor, Heart tumor, Heart valve disease, Myocardial infarction, Myxoma, Papillary fibroelastoma, Stroke, Valve surgery
Citation
Baikoussis Nikolaos G, Dedeilias Panagiotis, Argiriou Michalis, Argiriou Orestis, Vourlakou Christina, Prapa Efstathia, Charitos Christos. Cardiac papillary fibroelastoma; when, how, why. Annals of Cardiac Anaesthesia. 2016 Jan; 19(1): 162-165.