Multidetector computed tomography findings of a papillary fibroelastoma of the aortic valve: a case report

J Korean Med Sci. 2010 May;25(5):809-12. doi: 10.3346/jkms.2010.25.5.809. Epub 2010 Apr 16.

Abstract

Papillary fibroelastoma is a rare benign cardiac tumor that represents 10% of all primary cardiac tumors. Diagnosis is accomplished incidentally by echocardiography that is usually performed for another purpose. Most papillary fibroelastomas are asymptomatic, but the lesions are recognized as a cause of embolisms. To the best of our knowledge, there has been no case report of computed tomography findings of a papillary fibroelastoma. We report a case of a papillary fibroelastoma in a 78-yr-old woman who had dyspnea and chest tightness. Echocardiography revealed a small lobulated mobile echogenic mass attached to the aortic valve, and CT demonstrated a lobulated soft tissue density mass with a thin stalk at the sinotubular junction of the aortic valve.

Keywords: Aortic Valve; Echocardiography; Heart Neoplasms; Multidetector CT.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aortography / methods*
  • Female
  • Fibroma / diagnostic imaging*
  • Fibroma / surgery*
  • Heart Neoplasms / diagnostic imaging*
  • Heart Neoplasms / surgery*
  • Humans
  • Papillary Muscles / diagnostic imaging*
  • Papillary Muscles / surgery*
  • Tomography, X-Ray Computed / methods*
  • Treatment Outcome