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[Myocardial infarction and severe mitral insufficiency. Presentation of an aortic fibroelastoma]

Yolanda Carrascal Hinojal1, Salvatore Di Stefano, José Luis Vega

  • 1Servicio de Cirugía Cardiaca, Instituto de Ciencias del Corazón (ICICOR), Hospital Universitario, Avda. Ramón y Cajal S/n 47003 Valladolid Spagna. aguerrerop@medynet.com

Italian Heart Journal. Supplement : Official Journal of the Italian Federation of Cardiology
|June 6, 2003
PubMed

Insights

A rare aortic tumor, a papillary fibroelastoma, caused atypical chest pain and myocardial infarction by obstructing blood flow. Surgical removal and aortic leaflet repair led to an uneventful recovery.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Oncology

Background:

  • A 75-year-old female presented with atypical chest pain and non-Q wave myocardial infarction.
  • Coronary angiography revealed severe left main stenosis and severe mitral regurgitation.

Observation:

  • Transesophageal echocardiography identified an 11x14 mm aortic tumor near the left coronary cusp.
  • Cardiac magnetic resonance imaging demonstrated the tumor's proximity to the left coronary ostium, explaining intermittent mitral regurgitation.

Findings:

  • The aortic tumor was diagnosed as a papillary fibroelastoma.
  • Surgical excision of the tumor and reconstruction of the aortic leaflet with an autologous pericardial patch were performed.

Implications:

  • This case highlights papillary fibroelastomas as a rare cause of cardiac events and mitral regurgitation.
  • Successful surgical management underscores the importance of thorough cardiac imaging for diagnosing cardiac tumors.

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