Sudden death due to obstruction of coronary artery ostium by aortic valve papillary fibroelastoma

Joseph A. Prahlow, Jeffrey J. Barnard

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Papillary fibroelastomas are rare endocardial growths that most commonly occur on the cardiac valves. Whether papillary fibroelastomas represent true neoplasms, hamartomas, or degenerative changes is debatable. Whatever their origin, papillary fibroelastomas have a characteristic gross and microscopic appearance, are usually solitary, and are almost always incidental findings at autopsy or during cardiac surgery. We report a case of sudden death caused by occlusion of the right coronary artery ostium by a papillary fibroelastoma of the aortic valve. We discuss the gross and microscopic features, differential diagnosis, and etiology and pathogenesis of this rare and interesting cardiac lesion.

Original languageEnglish (US)
Pages (from-to)162-165
Number of pages4
JournalAmerican Journal of Forensic Medicine and Pathology
Volume19
Issue number2
DOIs
StatePublished - 1998

Fingerprint

Incidental Findings
Hamartoma
Heart Valves
Sudden Death
etiology
Aortic Valve
surgery
Thoracic Surgery
Autopsy
Coronary Vessels
Differential Diagnosis
death
Growth
Neoplasms

Keywords

  • Aortic valve
  • Coronary artery
  • Heart tumor
  • Papillary fibroelastoma
  • Sudden death

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Pathology and Forensic Medicine
  • Law

Cite this

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abstract = "Papillary fibroelastomas are rare endocardial growths that most commonly occur on the cardiac valves. Whether papillary fibroelastomas represent true neoplasms, hamartomas, or degenerative changes is debatable. Whatever their origin, papillary fibroelastomas have a characteristic gross and microscopic appearance, are usually solitary, and are almost always incidental findings at autopsy or during cardiac surgery. We report a case of sudden death caused by occlusion of the right coronary artery ostium by a papillary fibroelastoma of the aortic valve. We discuss the gross and microscopic features, differential diagnosis, and etiology and pathogenesis of this rare and interesting cardiac lesion.",
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AU - Barnard, Jeffrey J.

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AB - Papillary fibroelastomas are rare endocardial growths that most commonly occur on the cardiac valves. Whether papillary fibroelastomas represent true neoplasms, hamartomas, or degenerative changes is debatable. Whatever their origin, papillary fibroelastomas have a characteristic gross and microscopic appearance, are usually solitary, and are almost always incidental findings at autopsy or during cardiac surgery. We report a case of sudden death caused by occlusion of the right coronary artery ostium by a papillary fibroelastoma of the aortic valve. We discuss the gross and microscopic features, differential diagnosis, and etiology and pathogenesis of this rare and interesting cardiac lesion.

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KW - Heart tumor

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