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

Articles

Papillary fibroelastoma of the aortic valve presenting with myocardial infarction

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

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

Accepted for publication November 22, 1994.

* Address reprint requests to Dr Schäfers, Division of Thoracic and Cardiovascular Surgery, Hannover Medical School, Konstanty Gutschow Str 8, 30625 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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