大動脈弁原発 papillary fibroelastoma の1手術症例

喜瀬 勇也; 神谷 知里; 新垣 涼子; 前田 達也; 盛島 裕次; 新垣 勝也; 山城 聡; 國吉 幸男; 新垣 和也; 加藤 誠也

doi:10.4326/jjcvs.40.108

Case Reports

An Operative Case of Papillary Fibroelastoma of the Aortic Valve

Yuya Kise, Chisato Kamiya, Ryoko Arakaki, Tatsuya Maeda, Yuji Morishima, Katsuya Arakaki, Satoshi Yamashiro, Yukio Kuniyoshi, Kazunari Arakaki, Seiya Kato

Author information

Yuya Kise
Department of Thoracic and Cardiovascular Surgery, Graduate School of Medicine, University of the Ryukyus
Chisato Kamiya
Department of Thoracic and Cardiovascular Surgery, Graduate School of Medicine, University of the Ryukyus
Ryoko Arakaki
Department of Thoracic and Cardiovascular Surgery, Graduate School of Medicine, University of the Ryukyus
Tatsuya Maeda
Department of Thoracic and Cardiovascular Surgery, Graduate School of Medicine, University of the Ryukyus
Yuji Morishima
Department of Thoracic and Cardiovascular Surgery, Graduate School of Medicine, University of the Ryukyus
Katsuya Arakaki
Department of Thoracic and Cardiovascular Surgery, Graduate School of Medicine, University of the Ryukyus
Satoshi Yamashiro
Department of Thoracic and Cardiovascular Surgery, Graduate School of Medicine, University of the Ryukyus
Yukio Kuniyoshi
Department of Thoracic and Cardiovascular Surgery, Graduate School of Medicine, University of the Ryukyus
Kazunari Arakaki
Department of Pathology and Cell Biology, Graduate School of Medicine, University of the Ryukyus
Seiya Kato
Department of Pathology and Cell Biology, Graduate School of Medicine, University of the Ryukyus

Keywords: papillary fibroelastoma, cardiac tumor, aortic valve

JOURNAL FREE ACCESS

2011 Volume 40 Issue 3 Pages 108-111

DOI https://doi.org/10.4326/jjcvs.40.108

Details

Abstract

An echocardiogram revealed a mobile mass attached to the left coronary cusp of the aortic valve in an 81-year-old woman. The tumor was surgically removed without valve replacement. The tumor was whitish in color, with a sea anemone-like appearance, and it measured 10 mm in maximum dimension. It was histopathologically defined as papillary fibroelastoma (PFE), and the postoperative course was uneventful. Primary cardiac tumors are rare, and the majority are myxomas. However recent advances in noninvasive examination and surgery may increase the detection of PFE, which occurs most frequently on the endocardial surface of the cardiac valve. We report a case of cardiac PFE with a review of the pertinent literature.

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