A Case of Aortic Valve Papillary Fibroelastoma with Atrial Septal Defect
10.4326/jjcvs.42.148
- VernacularTitle:心房中隔欠損症に合併した大動脈弁乳頭状弾性線維腫の1例
- Author:
Hideaki Kanda
;
Yosuke Hisashi
;
Hiroyuki Yamamoto
;
Kouji Tao
;
Yoshiya Shigehisa
;
Hirokazu Kawazu
;
Bunsei Yamamoto
;
Yutaka Imoto
- Publication Type:Journal Article
- Keywords:
atrial septal defect;
cardiac tumor;
aortic valve;
cardiac papillary fibroelastoma
- From:Japanese Journal of Cardiovascular Surgery
2013;42(2):148-150
- CountryJapan
- Language:Japanese
-
Abstract:
A 68-year-old woman with a diagnosis of atrial septal defect (ASD) presented with dyspnea. Chest radiography demonstrated cardiomegaly and infiltration in both lungs, suggestive of cardiac decompensation due to ASD. Detailed evaluation with transthoracic echocardiography revealed a mobile tumor on the aortic valve. Intraoperatively, tumors were identified on all aortic cusps. Preservation of the aortic valve was difficult. We therefore performed aortic valve replacement and patch closure of the ASD. The existing literature suggests that mobile papillary fibroelastoma should be excised irrespective of size, to prevent the risk of embolism. Excision of the tumor alone is usually sufficient. However, the present case showed clustered tumors on the aortic valve, so preservation of the cusps could not be achieved in this case.
