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J Thorac Cardiovasc Surg 2006;132:1472-1473
© 2006 The American Association for Thoracic Surgery

Brief Communication

An unusual case of papillary fibroelastoma "invading" the mitral valve

Georges Fayad, MDa,*, Thomas Modine, MDa, Thierry Le Tourneau, MD, PhDb, Richard Azzaoui, MDa, Christophe Decoene, MDa, Marie Christine Copin, MD, PhDc, Christophe Bauters, MD, PhDa, Henri Warembourg, MDa

a Service de Chirurgie Cardiovasculaire, Hôpital Cardiologique, CHRU de Lille, France
b Service de Cardiologie C, Hôpital Cardiologique, CHRU de Lille, France
c Service d’anatomopathologie, CHRU de Lille, France.

Received for publication May 3, 2006; accepted for publication June 20, 2006.

* Address for reprints: Georges Fayad, MD, Hôpital Cardiologique, CHRU, Boulevard du Pr, J. Leclercq, 59037 Lille Cedex, France. (Email: g-fayad@chru-lille.fr).

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

We reportGo the case of a 28-year-old patient who was admitted to an emergency department for left-sided motor deficit. The medical history showed multiple transient ischemic attacks over the past 2 years. Preoperative cerebral magnetic resonance imaging showed right sylvian infarct. Transthoracic echocardiography revealed a round, highly mobile, pedunculated 6- by 5-mm mass attached to the anterior mitral leaflet near the posterior commissure. Transesophageal echocardiogram showed similar images (Figures 1 and 2, Go arrows). This mass did not alter the mitral valve function. The ejection fraction was normal and no associated valve disease was found.


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  		Figure 1. The broken line on the anterior leaflet marks the border between clear (normal) and rough (infiltrated) zones. The mitral . . . [Full Text of this Article]

 

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"Invading papillary fibroelastoma"
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J. Thorac. Cardiovasc. Surg. 2006 132: 1256. [Extract] [Full Text] [PDF]





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