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J Thorac Cardiovasc Surg 2006;131:1177-1178
© 2006 The American Association for Thoracic Surgery

Brief Communication

Valve-sparing excision of aortic valve papillary fibroelastoma

Parsia A. Vagefi, MD a , Nathan R. Bates, MD a , Leon M. Ptaszek, MD, PhD b , Mark S. Adams, RDCS c , Jennifer D. Walker, MD a , *

a Division of Cardiac Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Mass
b Division of Cardiology, Massachusetts General Hospital, Harvard Medical School, Boston, Mass
c Division of Cardiothoracic Anesthesia, Massachusetts General Hospital, Harvard Medical School, Boston, Mass

Received for publication December 1, 2005; revisions received December 22, 2005; accepted for publication December 30, 2005.

* Address for reprints: Jennifer D. Walker, MD, Massachusetts General Hospital, 55 Fruit St, EDR 105, Boston, MA 02114-2696 (Email: jdwalker@partners.org).

The first 20% of the full text of this article appears below.


Figure 1
Drs Walker and Vagefi (left to right).


A 65-year-old woman with a history of hypertension and anxiety presented to an outside hospital after the sudden onset of feeling a rightward tilt. The patient also described loss of her right superior temporal visual field for approximately 45 minutes and short-term memory difficulties at that time but denied any other symptoms. The patient's physical examination was unremarkable. She underwent a computed tomographic scan of her head that was normal, and she was discharged home. That same evening, the patient began complaining of nausea and bifrontal headaches and on returning to the outside hospital was admitted. The results of a lumbar puncture were negative. A subsequent magnetic resonance image (MRI) of her brain demonstrated evidence of small emboli to the left anterior and posterior circulation involving the occipital and parietal lobes. The results of bilateral carotid duplex studies were negative. By report, a transthoracic echocardiogram revealed two 1-cm vegetations on the aortic valve, with no other valve pathology and no patent foramen ovale. The patient was started on antibiotics for presumed endocarditis.

Three days after her initial presentation, . . . [Full Text of this Article]




This article has been cited by other articles:


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 J. Thorac. Cardiovasc. Surg.Home page
P. Saxena, I. E. Konstantinov, A. Lee, and M. A.J. Newman
Papillary fibroelastoma of aortic valve: Early diagnosis and surgical management
J. Thorac. Cardiovasc. Surg., March 1, 2007; 133(3): 849 - 850.
[Full Text] [PDF]


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