A Case of Aortic Valve Papillary Fibroelastoma with Atrial Septal Defect

(Cardiovascular and Gastrointestinal Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan)

Hideaki Kanda Yosuke Hisashi Hiroyuki Yamamoto
Kouji Tao Yoshiya Shigehisa Hirokazu Kawazu
Bunsei Yamamoto Yutaka Imoto
A 68-year-old woman with a diagnosis of atrial septal defect(ASD)presented with dyspnea. Chest radiography demonstrated cardiomegaly and infiltration in both lungs, suggestive of cardiac decompensation due to ASD. Detailed evaluation with transthoracic echocardiography revealed a mobile tumor on the aortic valve. Intraoperatively, tumors were identified on all aortic cusps. Preservation of the aortic valve was difficult. We therefore performed aortic valve replacement and patch closure of the ASD. The existing literature suggests that mobile papillary fibroelastoma should be excised irrespective of size, to prevent the risk of embolism. Excision of the tumor alone is usually sufficient. However, the present case showed clustered tumors on the aortic valve, so preservation of the cusps could not be achieved in this case.
  Jpn. J. Cardiovasc. Surg. 42:148-150(2013)

Keywords:atrial septal defect, cardiac tumor, aortic valve, cardiac papillary fibroelastoma