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Time-Resolved, Dynamic Computed Tomography Angiography for Characterization of Aortic Endoleaks and Treatment Guidance via 2D-3D Fusion-Imaging
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Papillary fibroelastoma of the aortic valve and coronary artery disease visualized by 64-slice CT

Randall N de Visser1, Carlos van Mieghem, Niels C van Pelt

  • 1Erasmus Medical Center, Department of Cardiology, Rotterdam, the Netherlands.

Nature Clinical Practice. Cardiovascular Medicine
|May 1, 2008
PubMed

Insights

Aortic valve papillary fibroelastoma and coronary artery disease were diagnosed in a patient. Surgical excision of the mass and coronary artery bypass grafting were successfully performed.

Area of Science:

  • Cardiovascular Medicine
  • Cardiac Surgery
  • Oncology

Background:

  • A 75-year-old male with a history of myocardial infarction and transient ischemic attack underwent preoperative evaluation.
  • The patient was referred for evaluation before a cystectomy.

Observation:

  • Echocardiography revealed a mobile mass on the aortic valve's right coronary cusp.
  • Multislice CT demonstrated significant narrowing of the proximal left anterior descending coronary artery.

Findings:

  • Diagnosis of aortic valve papillary fibroelastoma concurrent with coronary artery disease.
  • Surgical management included excision of the aortic valve mass and coronary artery bypass grafting using the left internal mammary artery.

Implications:

  • Highlights the importance of comprehensive cardiac evaluation in patients with cardiovascular risk factors undergoing non-cardiac surgery.
  • Demonstrates successful surgical management of a rare cardiac tumor alongside significant coronary artery disease.
  • Emphasizes the potential for co-existing cardiac pathologies requiring multi-disciplinary surgical approaches.
Abstract

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