Report of a very rare patient with angina pectoris due to aortic valve papillary fibroelastoma

Aortic Valve Papillary Fibroelastoma (AVPF) is the most common benign tumor of cardiac valves. Most cases of AVPF are completely asymptomatic and the diagnosis is made incidentally. However، ischemic heart attack، atrial and ventricular arrhythmia، and also thromboembolism complication especially in CNS system، are the most common presentations in symptomatic cases. Herein، we report a very rare case of AVPF in an old age patient presented with stable angina.

A 60-year old woman was referred to our clinic with symptoms of stable angina. Transesophageal echocardiography showed a tumor suspected mass (1 X 1 cm) on aortic valve. Angiography was reported normal. Considering the presence of the symptomatic mass، patient underwent open cardiac surgery and tumor resected. Report of biopsy revealed the AVPF.

Although treatment of asymptomatic AVPF is controversial; but، for symptomatic masses، surgical resection for avoidance of its complication is recommended. Result of surgical resection of AVPF usually is excellent and mortality، morbidity، and recurrence rate are almost low