Nonsurgical Management of a Papillary Fibroelastoma of the Aortic Valve
We report the case of a 63-year-old woman who had an incidental echocardiographic diagnosis of papillary fibroelastoma (PFE) of the right coronary cusp of the aortic valve. The patient was informed about the embolic risk due to the pedunculated mass located on the aortic valve but she refused the pr...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2021/4160793 |
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| author | Antonino M. Grande Nicoletta Castiglione Adelaide Iervolino Francesco Nappi Antonio Fiore |
| author_facet | Antonino M. Grande Nicoletta Castiglione Adelaide Iervolino Francesco Nappi Antonio Fiore |
| author_sort | Antonino M. Grande |
| collection | DOAJ |
| description | We report the case of a 63-year-old woman who had an incidental echocardiographic diagnosis of papillary fibroelastoma (PFE) of the right coronary cusp of the aortic valve. The patient was informed about the embolic risk due to the pedunculated mass located on the aortic valve but she refused the proposed surgical removal. She was followed up yearly, and each follow-up included an echocardiographic evaluation of the mass. The lady is taking lysine acetylsalycilate 160 mg daily, and after more than 19 years later, she does not complain any symptoms or complications as a result of possible embolic episodes. If on one hand, our report is provocative for PFE nonsurgical management; on the other, we do believe that in symptomatic patients PFE located in the left heart chambers, the standard of care remains surgical excision after diagnosis. Anyway, our analysis shows that further data in this issue are needed in asymptomatic patients, and surgical indication should be proposed considering carefully the risk-benefit balance. |
| format | Article |
| id | doaj-art-f5cdb305d62047eb882ff3fb020b6d41 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-f5cdb305d62047eb882ff3fb020b6d412025-02-03T05:43:47ZengWileyCase Reports in Cardiology2090-64042090-64122021-01-01202110.1155/2021/41607934160793Nonsurgical Management of a Papillary Fibroelastoma of the Aortic ValveAntonino M. Grande0Nicoletta Castiglione1Adelaide Iervolino2Francesco Nappi3Antonio Fiore4Department of Cardiac Surgery IRCCS Fondazione Policlinico San Matteo, Pavia, ItalyDepartment of Cardiac Surgery IRCCS Fondazione Policlinico San Matteo, Pavia, ItalyDepartment of Cardiovascular Sciences, Fondazione Policlinico Universitario A. Gemelli IRCSS, ItalyDepartment of Cardiac Surgery, Centre Cardiologique du Nord de Saint-Denis, Paris, FranceDepartment of Cardiac Surgery, Henri Mondor University Hospital, Assistance Publique-Hôpitaux de Paris, Créteil, FranceWe report the case of a 63-year-old woman who had an incidental echocardiographic diagnosis of papillary fibroelastoma (PFE) of the right coronary cusp of the aortic valve. The patient was informed about the embolic risk due to the pedunculated mass located on the aortic valve but she refused the proposed surgical removal. She was followed up yearly, and each follow-up included an echocardiographic evaluation of the mass. The lady is taking lysine acetylsalycilate 160 mg daily, and after more than 19 years later, she does not complain any symptoms or complications as a result of possible embolic episodes. If on one hand, our report is provocative for PFE nonsurgical management; on the other, we do believe that in symptomatic patients PFE located in the left heart chambers, the standard of care remains surgical excision after diagnosis. Anyway, our analysis shows that further data in this issue are needed in asymptomatic patients, and surgical indication should be proposed considering carefully the risk-benefit balance.http://dx.doi.org/10.1155/2021/4160793 |
| spellingShingle | Antonino M. Grande Nicoletta Castiglione Adelaide Iervolino Francesco Nappi Antonio Fiore Nonsurgical Management of a Papillary Fibroelastoma of the Aortic Valve Case Reports in Cardiology |
| title | Nonsurgical Management of a Papillary Fibroelastoma of the Aortic Valve |
| title_full | Nonsurgical Management of a Papillary Fibroelastoma of the Aortic Valve |
| title_fullStr | Nonsurgical Management of a Papillary Fibroelastoma of the Aortic Valve |
| title_full_unstemmed | Nonsurgical Management of a Papillary Fibroelastoma of the Aortic Valve |
| title_short | Nonsurgical Management of a Papillary Fibroelastoma of the Aortic Valve |
| title_sort | nonsurgical management of a papillary fibroelastoma of the aortic valve |
| url | http://dx.doi.org/10.1155/2021/4160793 |
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