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Ann Thorac Surg 1995;60:206-208
© 1995 The Society of Thoracic Surgeons

Case Reports

Papillary Fibroelastoma of the Aortic Valve Presenting With Myocardial Infarction

Friedrich Stefan Eckstein, MD, Hans-Joachim Schäfers, MD, Jochen Grote, MD, Andreas Mügge, MD, Hans-Georg Borst, MD

Divisions of Thoracic and Cardiovascular Surgery and Cardiology, Hannover Medical School, Hannover, Germany

We describe the case of a 56-year-old woman who presented with myocardial infarction. Noninvasive and invasive investigations revealed coronary embolism from a papillary tumor attached to the right coronary cusp of the aortic valve as the underlying process. The tumor, which histologically proved to be a papillary fibroelastoma, was excised surgically and the resulting defect in the aortic valve leaflet was closed with a patch of autologous pericardium, effectively reconstructing the aortic valve. The current literature on intracardiac papillary fibroelastoma as a source of embolism and its surgical treatment is summarized.




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