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01.12.2009 | Case report | Ausgabe 1/2009 Open Access

Cardiovascular Ultrasound 1/2009

Asymptomatic papillary fibroelastoma of the Aortic valve in a young woman - a case report

Cardiovascular Ultrasound > Ausgabe 1/2009
Fragiskos Parthenakis, Evangelia Nyktari, Alexandros Patrianakos, Antonis Pitsis, Anthoula Asimaki, Panos Vardas
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1476-7120-7-43) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

FP been involved in revising it critically for important intellectual content and has performed the echocardiography; APi gave his surgery opinion and the postoperative photographs; AA performed the histological analysis and gave the photo of the specimen. AP has involved in 3 dimensional echocardiography and in revising the manuscript. FPa and EN wrote the manuscript. P. Vardas had the general supervision.
All authors read and approved the final manuscript.


Echocardiography represents an invaluable diagnostic tool for the detection of intracardiac masses while simultaneously provides information about their size, location, mobility and attachment site as well as the presence and extent of any consequent hemodynamic derangement.
A 29-year-old asymptomatic young woman with incidental transthoracic echocardiographic (TTE) discovery of an aortic valve mass is presented. The 2-dimensional TTE showed a mobile, pedunculated mass, attached by a thin stalk to the aortic surface of the right coronary aortic cusp at the junction of its base with the anterior aortic wall. The importance of valve sparing tumour resection even in asymptomatic patients is emphasised.
Additional file 1: Parasternal long axis view. This is a movie clip, demonstrating the classical echocardiographic picture of the papillary fibroelastoma of the aortic valve. (WMV 204 KB)
Additional file 2: Parasternal short axis view. Another movie clip demonstrating short axis view of the aortic valve and the right coronary cusp papillary fibroelastoma. (WMV 267 KB)
Additional file 3: Parasternal long axis view. 3D-echocardiography depicting the origin of the tumour from the right coronary cusp. (WMV 350 KB)
Authors’ original file for figure 1
Authors’ original file for figure 2
Authors’ original file for figure 3
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