Aortic valve replacement for papillary fibroelastoma

• Published in: Journal of cardiac surgery Vol. 32; no. 6; pp. 347 - 354
• Main Authors: Arikan, Ali Ahmet, Omay, Oğuz, Aydın, Fatih, Kanko, Muhip, Gür, Sibel, Derviş, Emir, Yılmaz, Cansu Eda, Müezzinoğlu, Bahar
• Format: Journal Article
• Language: English
• Published: United States 01-06-2017
• Subjects: Aortic Valve - diagnostic imaging; Aortic Valve - surgery; aortic valve replacement; aortic valve tumor; Echocardiography, Transesophageal; Female; fibroelastoma; Fibroma - diagnostic imaging; Fibroma - pathology; Fibroma - surgery; heart neoplasms; Heart Neoplasms - diagnostic imaging; Heart Neoplasms - pathology; Heart Neoplasms - surgery; Heart Valve Prosthesis Implantation; Humans; Middle Aged; Organ Sparing Treatments - methods; papillary fibroelastoma; Papillary Muscles - pathology; Papillary Muscles - surgery; Risk Factors; Treatment Outcome; aortic valve tumor; fibroelastoma; aortic valve replacement; papillary fibroelastoma; heart neoplasms
• ISSN: 0886-0440; 1540-8191
• DOI: 10.1111/jocs.13154

Surgery is indicated for symptomatic patients with papillary fibroelastomas (PFE) on the aortic valve. The valve is commonly spared during tumor excision. Rarely, aortic valve replacement (AVR) is needed. We present a case requiring AVR for an aortic valve PFE and review the literature to determine the risk factors for failure of aortic valve‐sparing techniques in patients with PFE.