Key result
Surgical excision of an aortic valve papillary fibroelastoma completely resolves angina in a rare presentation.
Why the study?
Papillary fibroelastoma of the aortic valve is an uncommon benign tumor that can cause embolic events and may present as angina in the absence of significant coronary artery disease.
Case Report (n=1)
Papillary fibroelastoma of the aortic valve should be considered as a potential cause of angina in patients without significant coronary artery disease.
Adds rare valvular tumor to angina differential without CAD; hypothesis-generating and should not yet change practice.
Papillary fibroelastoma of the aortic valve is an uncommon benign tumor of the heart that can present with embolic events. We report a case of 54-year-old lady with exertional chest pain and prior history of ST segment elevation myocardial infarction who was subsequently found to have a fibroelastoma of the aortic valve. The absence of angiographically significant coronary artery disease and resolution of anginal symptoms post-surgery in our patient points to the possibility of fibroelastoma causing these anginal symptoms. Although uncommon, fibroelastoma are being recognized more frequently with the help of transesophageal echocardiography. Hence, in the absence of significant coronary artery disease, we emphasize the importance of consideration of papillary fibroelastoma of the aortic valve as a cause of angina. We also discuss the key aspects of the fibroelastoma including presentation, diagnostic modalities and treatment options.
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Madan Raj Aryal (2013) conducted a case report in Papillary fibroelastoma of the aortic valve (n=1). Papillary fibroelastoma of the aortic valve was evaluated on Resolution of anginal symptoms. Papillary fibroelastoma of the aortic valve was identified as an unusual cause of angina in a 54-year-old woman, with symptoms resolving completely post-surgery.
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