Work

Dynamic obstruction of right coronary ostium by a papillary fibroelastoma: a case report on alternative causes of chest pain and cardiac imaging assessment

Year: 2025

Type: article

Abstract: Background: Papillary fibroelastomas (PFEs) are one the most common primary cardiac tumours. Although they are benign, their location involves a high risk of adverse events, which have been reported mainly in the form of embolic events, but angina pectoris is another possible, less frequent manifestation. Case summary: We present a case of a 72-year-old woman with chest pain symptoms, who was found to have a PFE. As part of pre-operatory study a computed tomography (CT) scan was performed which documented dynamic obstruction of the right coronary artery. Surgery was brought forwards and mass was resected with histology confirming PFE. Discussion: The interest of our case lies into the documentation of the obstruction with the scan, highlighting the role and advancements of this diagnostic technique and the importance of a prompt assessment and management of these patients, since previous clinical evidence has shown that ischaemia due to PFEs could present with acute coronary syndromes or even sudden cardiac death.

Source: European Heart Journal - Case Reports

DOI: 10.1093/ehjcr/ytaf610

Authors: Luis Manuel Garcia-Linacero, Eduardo Casas Rojo, Antonio Piris, Miren Martin-Garcia, Covadonga Fernandez-Golfin

Institution: Hospital Universitario Ramón y Cajal

Language: English

Topic: Cardiac tumors and thrombi

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $815