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Papillary fibroelastoma of the aortic valve: a sudden death case of coronary embolism with myocardial infarction

Authors
Journal
Forensic Science International
0379-0738
Publisher
Elsevier
Publication Date
Volume
113
Identifiers
DOI: 10.1016/s0379-0738(00)00207-3
Keywords
  • Papillary Fibroelastoma
  • Coronary Embolism
  • Myocardial Infarction
  • Sudden Death
Disciplines
  • Medicine

Abstract

Abstract Papillary fibroelastoma is a rare benign tumor, occasionally causing angina or sudden death. We report an autopsy case of an aortic valve papillary fibroelastoma with coronary artery embolism. The patient was a 68-year-old Japanese man who had collapsed suddenly in his house. He was a heavy drinker and had a history of liver disease but no notable cardiac event. The autopsy revealed extensive transmural infarction of the inferior wall of the left and right cardiac ventricles. The distal portion of the right coronary artery (segment 4, NYHA) was completely occluded by tumor emboli of the fibroelastoma. At the site of closure of the aortic non-coronary cusp, there was a typical papillary fibroelastoma, which was considered to have originated the coronary embolization.

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