Clinical & Experimental Cardiology
Open Access
ISSN: 2155-9880
+44 1300 500008
ISSN: 2155-9880
+44 1300 500008
Department of Cardiology, UPMC Heart and Vascular Institute, Pittsburgh, Pennsylvania, USA
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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