A Left Ventricular Papillary Fibroelastoma Presenting as an Acute Coronary Syndrome

Figures

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  Figure 1. Transthoracic apical two-chamber view depicting a highly mobile rounded mass attached to a thin linear structure within the LV cavity.

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  Figure 2. Transthoracic zoomed apical four-chamber view depicting a round mobile mass attached to the lateral wall of the LV via a thin chord-like filament.

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  Figure 3. Midesophageal four-chamber view at 0 degrees demonstrating a round mass attached to the lateral wall of the LV.

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  Figure 4. Midesophageal four-chamber view using intravenous contrast. The partially contrast enhancing of the mass is revealed.

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  Figure 5. Cardiac MRI four-chamber view (bright blood) with no evidence of LV soft tissue mass.

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  Figure 6. Gross pathology revealing a soft, gelatinous, ovoid, tan-colored focally hemorrhagic mass measuring 1.0 x 1.0 x 0.4 cm.

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  Figure 7. Light microscopy of PFE revealing multiple frondlike structures consisting of a central core of dense fibroelastic tissue surrounded by loose connective tissue.