%0 Case Reports
%T Aortic valve fibroelastoma presenting with myocardial infarction with non-obstructive coronary arteries (MINOCA): A case report and review of the literature.
%A Pepe M
%A Tritto R
%A Naccarati ML
%A Quarta S
%A Marzullo A
%A Ciccone MM
%J Cardiovasc Pathol
%V 71
%N 0
%D 2024 Jul-Aug 10
%M 38467167
%F 3.975
%R 10.1016/j.carpath.2024.107631
%X Cardiac papillary fibroelastomas (CPFs) are rare benign cardiac tumors more often involving the left-sided valves and related with threatening embolic complications. We report the case of a 35-year-old woman presenting with relapsing-remitting chest pain and elevated cardiac troponins. After a negative coronary angiography, an integrated imaging assessment based on echocardiography and cardiac magnetic resonance showed a pedunculated mass on the aortic valve causing an intermittent obstructive engagement of the right coronary ostium. A tailored surgical treatment was performed and the histopathological examination of the specimen revealed mesenchymal tissue with the characteristics of CPF.