Exophytic Atheroma Mimicking Papillary Fibroelastoma Adjacent to the Aortic Valve

Follow-up echocardiography in a 69-year-old man with alcoholic cardiomyopathy showed a mass above the aortic valve near the left coronary ostium. Transesophageal echocardiography and computed tomography suggested a papillary fibroelastoma with a high risk of embolism. At operation we found an exophy...

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Veröffentlicht in:The Annals of thoracic surgery 2015-09, Vol.100 (3), p.1080-1082
Hauptverfasser: Cho, Tomoki, MD, Tokunaga, Shigehiko, MD, Yasuda, Shota, MD, Izubuchi, Ryo, MD, Masuda, Munetaka, MD
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container_end_page 1082
container_issue 3
container_start_page 1080
container_title The Annals of thoracic surgery
container_volume 100
creator Cho, Tomoki, MD
Tokunaga, Shigehiko, MD
Yasuda, Shota, MD
Izubuchi, Ryo, MD
Masuda, Munetaka, MD
description Follow-up echocardiography in a 69-year-old man with alcoholic cardiomyopathy showed a mass above the aortic valve near the left coronary ostium. Transesophageal echocardiography and computed tomography suggested a papillary fibroelastoma with a high risk of embolism. At operation we found an exophytic atheroma adjacent to the left coronary artery orifice. The atheroma was removed, and the patient made an uneventful recovery. We describe this very rare case of an exophytic atheroma mimicking a papillary fibroelastoma situated at the left coronary orifice.
doi_str_mv 10.1016/j.athoracsur.2014.11.057
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Transesophageal echocardiography and computed tomography suggested a papillary fibroelastoma with a high risk of embolism. At operation we found an exophytic atheroma adjacent to the left coronary artery orifice. The atheroma was removed, and the patient made an uneventful recovery. 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subjects Aged
Aortic Valve
Cardiothoracic Surgery
Diagnosis, Differential
Heart Neoplasms - diagnosis
Heart Valve Diseases - diagnosis
Humans
Male
Plaque, Atherosclerotic - diagnosis
Surgery
title Exophytic Atheroma Mimicking Papillary Fibroelastoma Adjacent to the Aortic Valve
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