ISSN: 2155-9880
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UPMC Heart and Vascular Institute, Pittsburgh, Pennsylvania, USA
Dr. Ibrahim Sultan is a cardiac surgeon and is certified in general surgery by the American Board of Surgery and cardiothoracic surgery by the American Board of Thoracic Surgery. Dr. Sultan earned his medical degree from Weill Cornell Medical College and completed his residency in general surgery at the Johns Hopkins Hospital. He subsequently completed his residency in cardiothoracic surgery at the Hospital of the University of Pennsylvania, where he also served as an advanced fellow in thoracic aortic surgery and minimally invasive valve surgery. He is associate professor of cardiothoracic surgery at the University of Pittsburgh School of Medicine.
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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