J Thorac Cardiovasc Surg 2009;137:1280-1282
© 2009 The American Association for Thoracic Surgery
Multiple papillary fibroelastoma with quadricuspid aortic valve
Reiji Hattori, MD, PhDa,*,
Chihiro Oishi, MDb,
Junji Iwasaka, MD, PhDb,
Toshiji Iwasaka, MD, PhDb,
Takayuki Okada, MDa,
Hiroyuki Johno, MDa,
Chiharu Enoki, MDa,
Tomohiko Sumida, MDa,
Yoshihisa Nakao, MD, PhDa,
Hiroji Imamura, MD, PhDa
a Department of Thoracic and Cardiovascular Surgery, Kansai Medical University, Hirakata, Osaka, Japan
b Division of Cardiology, Second Department of Medicine, Kansai Medical University, Hirakata, Osaka, Japan
Received for publication March 21, 2008; accepted for publication April 20, 2008.
* Address for reprints: Reiji Hattori, MD, PhD, Department of Thoracic and Cardiovascular Surgery, Kansai Medical University, 2-3-1, Shinmachi, Hirakata, Osaka, 573-1191, Japan. (Email: hattori@hirakata.kmu.ac.jp).
| The first 20% of the full text of this article appears below. |
Quadricuspid aortic valve (QAV) is a rare congenital anomaly that is one of the causes of aortic valve insufficiency, which often requires aortic valve replacement. Cardiac papillary fibroelastoma (CPF) is also a rare benign cardiac tumor, and there are reports of rare cases of multiple occurrences. We report our experience of successful surgery for a previously unreported condition in a patient with a QAV who had a narrow aortic annulus associated with complications of multiple CPF.
Clinical Summary
A 71-year-old woman underwent a transthoracic echocardiogram as part of a detailed examination for the treatment of peripheral arterial disease, and mobile masses were incidentally found that were attached to the aortic valve. In addition, the aortic valve was a QAV with severe aortic regurgitation, and various sizes of mobile masses were attached to each of the 4 cusps detected by a transesophageal echocardiogram (
Figure 1). Moreover, similar mobile . . . [Full Text of this Article]
Copyright © 2009 by The American Association for Thoracic Surgery.
