Why the study?
Papillary fibroelastomas are rare benign heart tumors typically involving heart valves, with Valsalva sinus localization causing coronary obstruction being extremely rare.
Multimodality imaging is crucial for the safe diagnosis and localization of rare Valsalva sinus fibroelastomas, helping to avoid fatal embolic complications during invasive procedures.
May aid safe evaluation of rare sinus of Valsalva fibroelastomas; leaves open need for prospective validation before broader adoption.
Papillary fibroelastomas are rare benign heart tumors, with the most common involvement of heart valves. We will present an extremely rare localization of a large Valsalva sinus fibroelastoma, with occasional left coronary artery ostial obstruction, which is presented as an acute coronary syndrome. The tumor was removed surgically and histologically confirmed as papillary fibroelastoma. This review points to the crucial importance of multidisciplinary team decision and multimodality imaging method for diagnosis of the fibroelastoma, determination of size, and localization, which avoided complications of fatal embolizations during an invasive procedure.
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Tadić et al. (2024) studied this question.
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