Acute myocardial infarction caused by coronary embolization of a papillary fibroelastoma of the thoracic ascending aorta.
Détails
ID Serval
serval:BIB_974EF8469168
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Acute myocardial infarction caused by coronary embolization of a papillary fibroelastoma of the thoracic ascending aorta.
Périodique
Interactive Cardiovascular and Thoracic Surgery
ISSN
1569-9285[electronic], 1569-9285[linking]
Statut éditorial
Publié
Date de publication
2010
Volume
11
Numéro
5
Pages
676-677
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Résumé
Papillary fibroelastomas (PFE) are benign endocardial masses and generally originate from the cardiac valves, while PFE arising from the ascending thoracic aorta are an uncommon clinical finding. We report the case of a 78-year-old female who presented to the emergency department with an acute ST segment elevation myocardial infarction. Urgent coronary angiography showed no significant coronary artery obstructive disease but left ventriculography revealed the presence of a highly mobile mass located in the proximal portion of the ascending thoracic aorta. We postulated that the clinical symptoms were caused by embolization from the aortic mass and surgical excision of the peduncle was performed. Histopathological examination revealed a PFE with thrombotic material. Nowadays, surgical excision of PFE remains, the treatment of choice for symptomatic patients with excellent short- and long-term results but recurrence of PFE following surgical excision has not been reported.
Mots-clé
Aged, Aorta, Thoracic/pathology, Aorta, Thoracic/surgery, Coronary Angiography, Echocardiography, Transesophageal, Embolism/etiology, Female, Fibroma/complications, Fibroma/pathology, Humans, Myocardial Infarction/etiology, Neoplastic Cells, Circulating/pathology, Treatment Outcome, Vascular Neoplasms/complications, Vascular Neoplasms/pathology
Pubmed
Web of science
Open Access
Oui
Création de la notice
18/03/2011 9:47
Dernière modification de la notice
20/08/2019 14:59