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A Journal on Surgery

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Chirurgia 2008 February;21(1):29-31

language: English

Recurrent thromboembolic events due to a papillary fibroelastoma of the aortic valve

Diez C. 1, Börgermann J. 1, Hauptmann S. 2, Hofmann H. S. 1

1 Department of Cardiothoracic Surgery Martin-Luther-University Halle-Wittenberg Halle/Saale, Germany
2 Institute of Pathology Martin-Luther-University Halle-Wittenberg Halle/Saale, Germany


We report on a 80-year-old man with recurrent transient ischemic attacks with left-sided hemiparesis and paresthesias. Echocar-diography and cardiac magnetic resonance imaging demonstrated a mobile pedunculated 2×2×1,5 cm mass attached to the arterial surface of the non-coronary cusp of the aortic valve. Cranial computed tomography revealed no evidence of cerebral ischemia or bleeding. The mass was resected under cardiopulmonary bypass in a valve-sparing procedure. Histological examination revealed a papillary fibroelastoma. After an uneventful postoperative course the patient was discharged home and has been well without further neurological events during a follow-up of nine months .

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