[HSF] aortic cusp mass

[Nasser F. Abou'Seada]

Dear Tea
Happy Thanks Giving. Hope you have enjoyed the turkey. I did have assisted
in one case years ago, during my training 1988, a male patient in his 30s,
asymptomatic, showing what appeared to be like a mass residing on the native
aortic valve NC leaflet.  It has been shown on opening to look like a
typical mushroom mass, 4 cms in height, stout stalk - 1 cm in diameter-,
whitish, non moving, non friable, non ulcerating surface. The case was
considered ? Fungal SBE !!, though I do not recall the pathology results.
the Valve was excised in toto, for an AVR. the patient did well thereafter.
the valve did not show any other abnormality, nor destruction -a significant
observation at that time. Too bad that no photo was taken then at the time.
I never saw another case like that again. recalling back, I would not be
sure of the nature of the mass, except for the typical mushroom appearance.
NFA
On Nov 29, 2007 11:23 PM, Tea Acuff <tacuff at swbell.net> wrote:

> I have an 82 year old woman asymptomatic with a 2cm smooth polypoid mass
> based on a tricuspid leaflet of the aortic valve. My partner recently did an
> resection for a fibroelastoma of the same which there are a few reported
> cases. Anyone seen this or a complication of this? It does not look or move
> like a vegetation.
>
> tea
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