Papillary Fibroelastoma of the Aortic Valve <b>Evaluation with Transesophageal Echocardiography and Magnetic Resonance Imaging</b>

Jun Shiraishi; Masashi Tagawa; Takashi Yamada; Takahisa Sawada; Tetsuya Tatsumi; Akihiro Azuma; Yasuyuki Shimada; Hitoshi Yaku; Nobuo Kitamura; Masao Nakagawa

doi:10.1536/jhj.44.799

Case Reports

Papillary Fibroelastoma of the Aortic Valve

Evaluation with Transesophageal Echocardiography and Magnetic Resonance Imaging

Jun Shiraishi, Masashi Tagawa, Takashi Yamada, Takahisa Sawada, Tetsuya Tatsumi, Akihiro Azuma, Yasuyuki Shimada, Hitoshi Yaku, Nobuo Kitamura, Masao Nakagawa

Author information

Jun Shiraishi
Second Department of Medicine, Kyoto Prefectural University of Medicine
Masashi Tagawa
Second Department of Medicine, Kyoto Prefectural University of Medicine
Takashi Yamada
Second Department of Medicine, Kyoto Prefectural University of Medicine
Takahisa Sawada
Second Department of Medicine, Kyoto Prefectural University of Medicine
Tetsuya Tatsumi
Second Department of Medicine, Kyoto Prefectural University of Medicine
Akihiro Azuma
Second Department of Medicine, Kyoto Prefectural University of Medicine
Yasuyuki Shimada
Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine
Hitoshi Yaku
Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine
Nobuo Kitamura
Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine
Masao Nakagawa
Second Department of Medicine, Kyoto Prefectural University of Medicine

Keywords: Papillary fibroelastoma, Aortic valve, Transesophageal echocardiography, Magnetic resonance imaging

JOURNAL FREE ACCESS

2003 Volume 44 Issue 5 Pages 799-803

DOI https://doi.org/10.1536/jhj.44.799

Details

Abstract

A 74-year-old Japanese male was admitted to hospital with episodes of chest pain. Cross-sectional echocardiography showed a mobile mass adherent to the noncoronary cusp of the aortic valve. We employed transesophageal echocardiography and magnetic resonance imaging to evaluate the mass. Based on the findings, a papillary fibroelastoma of the aortic valve was suspected. To avoid systemic embolization, urgent surgery was performed. The histopathologic diagnosis was papillary fibroelastoma. When a tumor of the aortic valve exists, these examinations are useful in detecting and characterizing the tumor for optimal treatment.

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