Clinical & Experimental Cardiology
Open Access
ISSN: 2155-9880
+44 1300 500008
ISSN: 2155-9880
+44 1300 500008
UPMC Heart and Vascular Institute, Pittsburgh, Pennsylvania, USA
Bryan Donohue is currently working at the Department of Cardiology, UPMC Heart and Vascular Institute, Pittsburgh, which is located in Pennsylvania, USA. His international experience includes various programs, contributions and participation in different countries for diverse fields of study.
Short Communication
Papillary Fibroelastoma of the Aorta presenting as a Non-ST Segment Elevation Myocardial Infarction
Author(s): Christopher C Allen1*, Edgar Aranda Michel, Sushant Sharma, Bryan Donohue, Arman Kilic, Valentino Bianco and Ibrahim Sultan
A 42 yr female presented with atypical chest pain and was found to have a filling defect in the Sinus of Valsalva
on CT angiography. Transesophageal echocardiography revealed that the defect was a mobile peculated mass with
features suggestive of a fibroelastoma. She ruled in for a NSTEMI with abnormal cardiac enzymes and due to
progressive chest pain coronary angiography was performed which revealed a thrombotic occlusion of the right
coronary artery which was managed by percutaneous intervention. Post procedure she was managed non-operatively
with aggressive systemic anticoagulation and a P2Y12 inhibitor. Interval imaging in six weeks documented a residual
stump but there were no further complications.
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