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CURRENT ISSUETHE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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The Journal of Cardiovascular Surgery 1998 June;39(3):351-4

CARDIAC PAPERS 

 CASE REPORTS

Echocardiographic detec­tion of pul­mo­nary valve pap­il­lary fibro­elas­to­ma

Bhagwandien N. S., Shah N.*, Costello J. M. Jr*, Gilbert C. L.**, Blamkenship J. C.*

From ­the Department of Internal Medicine, *Department of Cardiology, **Department of Cardiovascular ­and Thoracic Surgery, Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822, ­USA

Papillary fibro­elas­to­mas of ­the ­heart ­are ­rare ­lesions usu­al­ly dis­cov­ered at autop­sy or inci­den­tal­ly at sur­gery. Although ­these ­lesions ­are ­benign ­and gen­er­al­ly asymp­to­mat­ic, ­they ­can ­cause val­vu­lar dys­func­tion or embol­ize to ­vital struc­tures. In ­this ­case ­report, we ­describe a pul­mo­nary ­valve pap­il­lary fibro­elas­to­ma detect­ed by ech­o­car­di­og­ra­phy in an ­adult. Most of ­the 12 cas­es of pul­mo­nary ­valve pap­il­lary fibro­elas­to­ma report­ed in ­the lit­er­a­ture ­were dis­cov­ered inci­den­tal­ly at autop­sy or dur­ing sur­gery. To ­our knowl­edge, ­this is ­the ­first report­ed ­case of pul­mo­nary ­valve pap­il­lary fibro­elas­to­ma detect­ed by ech­o­car­di­og­ra­phy. Rest imag­ing ­before exer­cise ech­o­car­di­og­ra­phy ­for eval­u­a­tion of atyp­i­cal ­chest ­pain in a 42-­year-­old ­white ­female dem­on­strat­ed a ­mass on ­the pul­mo­nary ­valve. The ­mass ­was fur­ther char­ac­ter­ized by tran­s-esoph­a­geal ech­o­car­di­og­ra­phy ­and ­excised dur­ing ­open ­heart sur­gery. Pulmonary ­valve pap­il­lary fibro­elas­to­ma ­was diag­nosed his­to­path­o­log­i­cal­ly. This ­case illus­trates ­the addi­tion­al diag­nos­tic val­ue of com­pre­hen­sive 2D imag­ing in ­the ­rest ­phase ­before ­doing exer­cise ech­o­car­di­og­ra­phy.

language: English


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