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Case Report

Cardiac Papillary Fibroelastoma of a Bicuspid Aortic Valve in an Adolescent: A Case Report

1
Pediatric Cardiology, Department of Pediatrics, University Hospital of Liège, Belgium
2
Department of Pediatrics, Regional Hospital Verviers, Belgium
3
Department of Anatomic Pathology, University Hospital of Leuven, Belgium
*
Author to whom correspondence should be addressed.
Clin. Pract. 2019, 9(3), 1135; https://doi.org/10.4081/cp.2019.1135
Submission received: 7 February 2019 / Revised: 6 July 2019 / Accepted: 2 August 2019 / Published: 7 August 2019

Abstract

Cardiac papillary fibroelastomas (CPFE) are exceptional primary benign cardiac tumours affecting the heart valves. We report here the case of a 15-year-old boy in whom echocardiography performed for non-specific chest pain during follow-up for bicuspid aortic valve showed as accidental finding the presence of a round mobile mass without stalk attached on the inferior side of the aortic valve. The mass did not cause any outflow tract obstruction or aortic insufficiency. Electrocardiogram-gated cardiac computed tomography and magnetic resonance imaging allowed to suspect CPFE. Although the patient was asymptomatic, open cardiac surgery with elective surgical resection of the tumour was performed to avoid systematic emboli. Histology confirmed the diagnosis of CPFE. This is an exceptional case of acquired CPFE in a young patient with bicuspid aortic valve. Due to the risk of systemic embolization, aortic or coronary ostium obstruction, elective excision of such lesions is recommended.
Keywords: Cardiac papillary fibroelastoma; bicuspid aortic valve; children Cardiac papillary fibroelastoma; bicuspid aortic valve; children

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MDPI and ACS Style

Dénes, S.; Daron, B.; Behaeghe, M.; Seghaye, M.-C. Cardiac Papillary Fibroelastoma of a Bicuspid Aortic Valve in an Adolescent: A Case Report. Clin. Pract. 2019, 9, 1135. https://doi.org/10.4081/cp.2019.1135

AMA Style

Dénes S, Daron B, Behaeghe M, Seghaye M-C. Cardiac Papillary Fibroelastoma of a Bicuspid Aortic Valve in an Adolescent: A Case Report. Clinics and Practice. 2019; 9(3):1135. https://doi.org/10.4081/cp.2019.1135

Chicago/Turabian Style

Dénes, Sarah, Benoît Daron, Marie Behaeghe, and Marie-Christine Seghaye. 2019. "Cardiac Papillary Fibroelastoma of a Bicuspid Aortic Valve in an Adolescent: A Case Report" Clinics and Practice 9, no. 3: 1135. https://doi.org/10.4081/cp.2019.1135

APA Style

Dénes, S., Daron, B., Behaeghe, M., & Seghaye, M. -C. (2019). Cardiac Papillary Fibroelastoma of a Bicuspid Aortic Valve in an Adolescent: A Case Report. Clinics and Practice, 9(3), 1135. https://doi.org/10.4081/cp.2019.1135

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