Symptomatic Aortic Valve Mass - Cardiac Work-Up Challenges and Role of Computed Tomography Angiography: A Case Report

Abstract Cardiac papillary fibroelastoma are rare, benign cardiac tumors that may lead to lethal complications from embolization or valvular dysfunction if left untreated. When working up symptomatic tumors with concomitant angina, traditional diagnostic studies such as cardiac catheterization may predispose the patient to embolic complications if the mass is located in the path of the catheter. Newer, non-invasive diagnostic testing, such as cardiac magnetic resonance imaging or dynamic computed tomography angiography, may be considered in lieu of invasive approaches to avoid potentially devastating complications. We herein present a case report of a 77-year-old female with a symptomatic aortic valve tumor and describe our diagnostic strategy and management.

摘要 心脏乳头状纤维弹性瘤（Cardiac papillary fibroelastoma）是一类罕见的良性心脏肿瘤，若未予以干预，可因栓塞或瓣膜功能障碍引发致命并发症。针对伴发心绞痛的症状性肿瘤患者，传统诊断手段如心导管检查，若肿瘤位于导管通路内，可能会使患者更易发生栓塞并发症。近年来，可采用心脏磁共振成像（cardiac magnetic resonance imaging）或动态计算机断层血管造影（dynamic computed tomography angiography）等无创诊断检查替代有创操作，以规避潜在的灾难性并发症。本文报告1例77岁女性症状性主动脉瓣肿瘤病例，并详述我们采用的诊断策略与治疗方案。