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http://dx.doi.org/10.1111/echo.12940DOI Listing

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Purpose: Cardiac computed tomography angiography (CCTA) has significantly advanced the visualization of cardiac structures, particularly valves. We assessed the diagnostic performance of CCTA in diagnosing the most common disorders affecting the aortic valves requiring surgery-papillary fibroelastoma, infective endocarditis, and degeneration.

Methods: This retrospective study included patients who underwent aortic valve resection between 2016 and 2023 and had a preceding CCTA.

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Article Synopsis
  • * A case study described a 39-year-old man who experienced severe chest pain due to a heart attack linked to a PFE found on imaging, which showed a mass near his aortic valve.
  • * The patient successfully underwent surgery to remove the tumor, and the case underscores the need for advanced imaging techniques to identify these rare tumors, as well as the urgency of surgery when they cause symptoms.
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Article Synopsis
  • - Papillary fibroelastoma is a rare benign tumor of the aortic valve that may cause obstruction, embolization, or be asymptomatic; diagnosis mainly relies on echocardiography.
  • - Transthoracic echocardiography may miss small tumors due to size sensitivity, which can lead to missed diagnoses.
  • - A case study showed a tumor detected by intraoperative transesophageal echocardiography, leading to successful surgical resection while preserving the aortic valve, emphasizing the importance of intraoperative imaging for accurate diagnosis.
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• PFEs are a cause of cardioembolic events. • TI represents a newer photorealistic rendering of 3D echo. • TI may assist in the identification of intracardiac masses, including PFEs.

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