case_images: PMC9146607_01
case_images: PMC9146607_02
case_images: an electrocardiogram shows an ST segment elevation in the anterior leads
case_images: PAMJ-41-206-g001.jpg
case_images: PMC9146607_02_PAMJ-41-206-g001.jpg
case_images: F1
case_images: Despite the patient s stable clinical condition, the electrocardiogram showed a transient ST segment elevation in the anterior leads (Figure 1).
case_images: a coronarography realized shows no lesions
case_images: PAMJ-41-206-g002.jpg
case_images: PMC9146607_02_PAMJ-41-206-g002.jpg
case_images: F2
case_images: Diagnostic assessment: an urgent coronarography was performed in the catheter laboratory, which was normal (Figure 2).
case_images: transoesophageal echocardiography short axis view, arrow points to a 10mm /8mm tumour, attached to the non/left commissure
case_images: PAMJ-41-206-g003.jpg
case_images: PMC9146607_02_PAMJ-41-206-g003.jpg
case_images: F3
case_images: In the echocardiogram, the cardiologist suspects active endocarditis of the aortic valve, we complete with a transoesophageal echocardiogram which reveals the existence of a pedunculated rounded structure attached to the aortic valve, no aortic stenosis or regurgitation, and moderate left ventricle dysfunction (Figure 3).
case_images: computed tomography angiography shows a 0.62/0.88 cm mass attached to aortic leaflet, near the ostium of the main left coronary artery (A, B)
case_images: PAMJ-41-206-g004.jpg
case_images: PMC9146607_02_PAMJ-41-206-g004.jpg
case_images: F4
case_images: A computed tomography angiography shows a 8.8mm/6.2mm bell-stick mass, attached to the non/left commissure of the aortic valve (Figure 4).
case_images: intraoperative view, arrow points to the mass in the left/ non commissure of the aortic valve
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case_images: F5
case_images: The coronary ostia were normal (Figure 5, Figure 6A).
case_images: macroscopic aspect of the excised mass (A) and histological section of the excised mass, papillae bordered by regular endothelial cells resting on a hyalinized connective axis consistent with papillary fibroelastoma (HE, G x100) (B)
case_images: PAMJ-41-206-g006.jpg
case_images: PMC9146607_02_PAMJ-41-206-g006.jpg
case_images: F6
case_images: The coronary ostia were normal (Figure 5, Figure 6A). Histopathologic results were consistent with papillary fibroelastoma of the aortic valve, without signs of malignancy (Figure 6B).