Papillary fibroelastoma of the mitral valve 12 years after mitral valve commissurotomy.

Abstract:

:A 63 year-old woman who had had mitral valve commissurotomy 12 years earlier was seen because of rheumatic mitral stenosis and left brachial paresis due to cerebral embolism. On clinical evaluation, a diastolic rumble was heard over the mitral area, and the echocardiogram revealed a mass attached to the mitral subvalvular apparatus. The patient was operated on, and both the surgical and histologic findings depicted papillary fibroelastoma. This tumor may occur as an isolated lesion or be associated with mitral valve stenosis or other cardiac abnormalities, and it is an important source of emboli. Early echocardiographic diagnosis, followed by surgical excision, may avoid serious complications such as stroke, myocardial infarction, and sudden death.

journal_name

South Med J

journal_title

Southern medical journal

authors

Cesena FH,Pereira AN,Dallan LA,Aiello VD,Mansur AJ

doi

10.1097/00007611-199910000-00017

subject

Has Abstract

pub_date

1999-10-01 00:00:00

pages

1023-8

issue

10

eissn

0038-4348

issn

1541-8243

journal_volume

92

pub_type

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