A 62-year-old woman was admitted with syncope. A magnetic resonance imaging showed a 6-cm × 3-cm mass on the pulmonary valve leaflet (Fig. 1 ). A 90 mmHg pressure gradient was found (Fig. 2 ). Angiogram revealed a severely calcified, mobile mass (Fig. 2, Videos 1 and 2), which was treated surgically. On histopathology analysis, a papillary fibro-elastoma diagnosis was confirmed.
Shows a 6 cm by 3 cm mass on the pulmonary valve leaflet at magnetic resonance image.
Shows a 6 cm by 3 cm mass on the pulmonary valve leaflet at magnetic resonance image.
Shows a big mass on the pulmonary valve leaflet, severely calcified, mobile with no contrast enhancement (no contrast filling) and limited edges (A and B). The small picture shows a 65 mmHg pressure gradient between right ventricle and pulmonary artery (C).
Shows a big mass on the pulmonary valve leaflet, severely calcified, mobile with no contrast enhancement (no contrast filling) and limited edges (A and B). The small picture shows a 65 mmHg pressure gradient between right ventricle and pulmonary artery (C).
Appendix A Supplementary data
Supplementary data associated with this article can be found, in the online version, at doi:10.1016/j.ejcts.2009.05.024.
