AI Article Synopsis
- A 74-year-old woman was admitted with symptoms suggesting infectious endocarditis (IE), including fever and brain infarction, along with masses on her aortic valve.
- After four weeks of antibiotics, the masses remained despite negative blood cultures, indicating that IE was unlikely.
- The patient had surgery to remove the masses, which were found to be primary cardiac tumors (papillary fibroelastoma), and she is currently free of recurrence.
Article Abstract
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. The patient underwent tumor resection under cardiopulmonary bypass to prevent repeat embolism and obtain definitive diagnosis. Intraoperatively, oscillating masses appeared to be primary cardiac tumors, and were resected from the non-coronary cusp and the commissure between the right and non-coronary cusp. Pathological diagnosis was papillary fibroelastoma, and currently, the patient is free from recurrence.
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