Successful surgical treatment of a large papillary fibroelastoma of the aortic valve complicated by acute coronary syndrome
Papillary fibroelastoma (PPE) is a benign endothelial neoplasm, which is the second most common type of tumor after the myxoma. Patients who have not undergone surgical treatment are at increased risk of thromboembolic complications (most often in the brain) and sudden cardiac death. Based on these data, direct candidates for surgical removal are persons with PFE in the left heart. Most researchers note a high level of preservation of the native valve, including aortic valve, which is 98%. This is due to the fact that the PFE does not generally lead to a disruption in the function of the valve on which it is attached. In our case, we used autopericardium as a material, for autothyron has the most satisfactory biomechanical properties and is close in thickness to the aortic valve leaflet.