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Case Reports
. 2021 Aug 30;9(9):e04688.
doi: 10.1002/ccr3.4688. eCollection 2021 Sep.

Surgical removal of an exceedingly rare papillary fibroelastoma of the aortic wall causing unstable angina

Paolo Masiello  1 , Angelo Catalano  2 , Generoso Mastrogiovanni  1 , Geppina Eusebio  2 , Anna Maria De Roberto  2 , Pierpaolo Chivasso  1 , Giuseppe Ciancia  3 , Ivana Iesu  4 , Donato Triggiani  1 , Severino Iesu  1
Affiliations
Case Reports

Surgical removal of an exceedingly rare papillary fibroelastoma of the aortic wall causing unstable angina

Paolo Masiello et al. Clin Case Rep. .

Abstract

Difficult diagnosis is due to rarity of the case. TT or TE echocardiography is sufficient to make a correct diagnosis. The risk of embolism or coronary ostia occlusion should guide the decision for surgery.

Keywords: aorta and great vessels; aortic surgery; cardiac tumors.

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Conflict of interest statement

No conflict of interest to declare.

Figures

FIGURE 1
FIGURE 1
A, TEE showing a mobile, irregular mass of 1 × 1.5 cm diameters in right coronary sinus. B, CTA scan confirming the presence of the mass in ascending aorta
FIGURE 2
FIGURE 2
A, Surgical view of the mass. B, Macroscopic view of the resected mass. C, The histology shows individual fronds consisting of a core of hyalinized hypocellular stroma that is rich in elastic fibers and a lining of hyperplastic endocardial cells (magnification ratio:200:1–400:1. Hematoxylin‐eosin staining)
See this image and copyright information in PMC

References

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