Document Detail

Papillary fibroelastoma of the aortic valve and coronary artery disease visualized by 64-slice CT.
MedLine Citation:
PMID:  18446133     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: A 75-year-old male with a history of myocardial infarction and recent transient ischemic attack was referred to a cardiology clinic for preoperative evaluation before a cystectomy. Transthoracic and transesophageal echocardiography revealed a mobile mass on the right coronary cusp of the aortic valve. Multislice CT demonstrated a significant narrowing in the proximal left anterior descending coronary artery. INVESTIGATIONS: Physical examination, chest radiography, laboratory testing, electrocardiography, transthoracic and transesophageal echocardiography, multislice-CT coronary angiography, pathological and histological examination of the surgically excised tissue. DIAGNOSIS: Papillary fibroelastoma of the aortic valve in conjunction with coronary artery disease. MANAGEMENT: Surgical excision of the mobile lesion and an end-to-side anastomosis of the left internal mammary artery to the left anterior descending coronary artery.
Randall N de Visser; Carlos van Mieghem; Niels C van Pelt; Annick C Weustink; Jacques P Kerker; Tjebbe W Galema
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-04-29
Journal Detail:
Title:  Nature clinical practice. Cardiovascular medicine     Volume:  5     ISSN:  1743-4300     ISO Abbreviation:  -     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-05-28     Completed Date:  2008-09-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101226507     Medline TA:  Nat Clin Pract Cardiovasc Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  350-3     Citation Subset:  IM    
Erasmus Medical Center, Department of Cardiology, Rotterdam, the Netherlands.
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MeSH Terms
Aortic Valve / pathology*
Coronary Artery Disease / complications*,  pathology,  physiopathology,  radiography*
Endocardial Fibroelastosis / complications*,  pathology,  physiopathology,  radiography*
Papillary Muscles / pathology*

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