Papillary fibroelastoma of the aortic valve is a rare but treatable cause of acute myocardial infarction with non-obstructive coronary arteries.
We present the case of a 75-year-old woman with typical myocardial infarction but a negative coronary angiogram. Echocardiography identified the rare cause of her chest pain: a mobile mass on the aortic valve that obstructed the coronary ostium. The histopathology revealed a papillary fibroelastoma (PFE), and her chest pain was relieved after surgical resection of the mass.
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Tang et al. (2021) studied this question.
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