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Coexistence Case of Papillary Fibroelastoma and Lambl's Excrescence of the Left Heart, Which Is Occasionally Associated with Significant Stroke.
Int Heart J
March 2024
Department of Pathology & Clinical Laboratory Medicine, Social Medical Corporation Yamatokai Foundation Higashiyamato Hospital.
Papillary fibroelastoma (PFE) is a benign tumor that arises mostly from left-sided valves. PFE can cause stroke, and surgical resection may be needed. Lambl's excrescence (LE) is a filiform valvular lesion and is considered a possible cause of stroke.
View Article and Find Full Text PDF[Multiple Papillary Fibroelastomas that Required Differentiation from Infectious Endocarditis:Report of a Case].
Kyobu Geka
November 2022
Department of Cardiovascular Surgery, Omori Red Cross Hospital, Tokyo, Japan.
A 74-year-old woman with several oscillating intracardiac masses on the aortic valve was admitted for fever and subacute brain infarction suggestive of infectious endocarditis( IE). After empirical antibiotic treatment for four weeks according to the guidelines for IE, cardiac masses remained on the valve; however, blood culture tests were negative. These findings did not support our initial diagnosis of IE, and, in fact, suggested that IE was unlikely.
View Article and Find Full Text PDFCalcified thrombi of the Valsalva sinuses mimicking an aortic valve tumour.
Interact Cardiovasc Thorac Surg
September 2022
Department of Thoracic and Cardiovascular Surgery, Wakayama Medical University Hospital, Wakayama City, Japan.
Tumours or tumour-like lesions around the aortic valve are relatively rare and are difficult to diagnose. We report an interesting case of calcified thrombi in the Valsalva sinuses and coronary cusps that mimicked an aortic valve tumour. A 68-year-old man presented with a 20-mm calcified mass in the non-coronary and left-coronary cusps extending to their corresponding Valsalva sinuses, which was detected by echocardiography and contrast-enhanced computed tomography.
View Article and Find Full Text PDFBicuspidization of a unicuspid valve using sliding plasty of a rudimentary right coronary cusp.
Eur J Cardiothorac Surg
August 2022
Department of Cardiovascular and Thoracic Surgery, Pitié-Salpêtrière Hospital, 75013, Paris, France.
Article Synopsis
- * A specific case is presented involving a 26-year-old patient who had both a severe unicuspid valve and a condition called cor triatriatum, requiring both membrane resection and valve repair.
- * The repair involved sliding plasty of the rudimentary right coronary cusp, patching the non-coronary cusp, and implementing measures like external annuloplasty for stabilization, highlighting a unique approach to reconstruction.
[Aortic Regurgitation due to Rupture of a Fibrous Strand in Fenestrated Aortic Valve:Report of a Case].
Kyobu Geka
March 2022
Department of Cardiovascular Surgery, Gifu Heart Center, Gifu, Japan.
Fenestration of the aortic valve cusps rarely causes aortic regurgitation. A 54-year-old woman was diagnosed with aortic regurgitation secondary to a ruptured fibrous strand in a fenestrated aortic valve cusp. Diastolic murmur was pointed out during health checkup five months earlier, and transthoracic echocardiography revealed severe aortic valve regurgitation with a mobile mass attached to the aortic valve cusp.
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