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Resting angina due to papillary fibroelastoma of the right coronary cusp

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Abstract

A 63-year-old man with chest pain at rest was referred to our hospital. Transthoracic echocardiography showed a mobile ball-like mass at the top of the right coronary cusp. Subsequently, transesophageal echocardiography also showed a mobile mass at the right coronary cusp. Aortic valve replacement with a mechanical valve was performed under general anesthesia. We diagnosed this condition as papillary fibroelastoma based upon the pathological findings with hematoxylin and eosin staining, and Elastica van Gieson staining. Coronary angiography revealed no organic lesions. The operation was successful, and the patient remains asymptomatic. We speculate that the resting chest pain was induced by transient occlusion of the right coronary orifice by the tumor. We describe this rare case in detail including a review of the literature.

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Authors and Affiliations

  1. Division of Cardiology, Saiseikai Kumamoto Hospital Cardiovascular Center, 5-3-1 Chikami, Minami-ku, Kumamoto, 861-4193, Japan

    Eiji Taguchi, Koichi Nakao, Mina Sakanashi, Shinzo Miyamoto, Tomohiro Sakamoto & Kazuhiro Nishigami

  2. Division of Diagnostic Pathology, Saiseikai Kumamoto Hospital, Kumamoto, Japan

    Takihiro Kamio

  3. Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital Cardiovascular Center, Kumamoto, Japan

    Toshiharu Sassa, Hideyuki Uesugi & Touitsu Hirayama

Authors
  1. Eiji Taguchi
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  2. Koichi Nakao
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  3. Toshiharu Sassa
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  4. Takihiro Kamio
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  5. Mina Sakanashi
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  6. Shinzo Miyamoto
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  7. Tomohiro Sakamoto
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  8. Kazuhiro Nishigami
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  9. Hideyuki Uesugi
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  10. Touitsu Hirayama
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Corresponding author

Correspondence to Koichi Nakao.

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Taguchi, E., Nakao, K., Sassa, T. et al. Resting angina due to papillary fibroelastoma of the right coronary cusp. Heart Vessels 31, 114–117 (2016). https://doi.org/10.1007/s00380-014-0561-0

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  • DOI: https://doi.org/10.1007/s00380-014-0561-0

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