Aortic wall papillary fibroelastoma

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Presentation transcript:

Aortic wall papillary fibroelastoma Jose María González-Santos, PhD, María Elena Arnáiz-García, MD, María del Carmen Vargas-Fajardo, PhD, Antonio Arribas-Jiménez, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 146, Issue 1, Pages e1-e3 (July 2013) DOI: 10.1016/j.jtcvs.2013.03.035 Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Transesophageal echocardiography focuses on the aortic root. A, Mobile mass 2 × 2 cm is attached to the aortic valve immediately over the aortic valve (arrow). B, Enhanced computed tomography scan showing the tumor inside the lumen of aortic root as an intraluminal filling defect (arrow). LA, Left atrium; LV, left ventricle; AV, aortic valve; AA, ascending aorta; RCS, right coronary sinus; NCS, noncoronary sinus; LCS, left coronary sinus. The Journal of Thoracic and Cardiovascular Surgery 2013 146, e1-e3DOI: (10.1016/j.jtcvs.2013.03.035) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Intraoperative findings of the yellowish mass over the aortic valve (arrow). B, Closer intraoperative view. C, Aortic wall defect remaining after complete resection of tumor with its implant surface. The aortic valve remains intact after resection. D, Triangle-shaped bovine pericardial used for restoring aortic root (arrow). E, Macroscopic view of surgical specimen showing the friable and glistening jellylike appearance of tumor. F, The tumor changed in water to its characteristic villous, arboreus, and sea anemone–like appearance, suggesting the diagnosis of papillary fibroelastoma. AA, Ascending aorta; AV, aortic valve; RC, right coronary; RCS, right coronary sinus; LCS, left coronary sinus; NCS, noncoronary sinus; LC, left coronary. The Journal of Thoracic and Cardiovascular Surgery 2013 146, e1-e3DOI: (10.1016/j.jtcvs.2013.03.035) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions