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Year : 2021  |  Volume : 22  |  Issue : 3  |  Page : 220-223

Surgical resection of very small multiple papillary fibroelastomas of the aortic valve

Department of Cardiothoracic Surgery, Ruhr-University Hospital Bergmannsheil, Bochum, Germany

Correspondence Address:
Dr. Dritan Useini
Department of Cardiothoracic Surgery, Ruhr-University Hospital Bergmannsheil, Bürkle de la Camp Platz 1; 44789 Bochum
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Source of Support: None, Conflict of Interest: None


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Papillary fibroelastomas (PFEs) in multiple presentations on the aortic valve surface are extremely rare tumors that can cause sudden major cardio-cerebral adverse events. The treatment of these tumors varies from conservative care strategy to curative surgical resection. The bigger the tumor size, the bigger seems the tendency toward surgical treatment concepts. Here, we present the case of a completely healthy young woman who suffered sudden myocardial infarction and occlusion of the circumflex artery caused by very small multiple PFEs of the aortic valve. The patient underwent cardiac surgery for resection at our institution. The surgical approach appears to be recommended as a solitary reasonable treatment option once multiple PFEs have been detected.

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