Papillary fibroelastoma of the aortic valve with temporary occlusion of the left coronary ostium.

We report a rare tumor of the aortic valve located at the commissure close to the left coronary ostium in a 71-year old female patient. Due to an intermittent obstruction of the left coronary ostium, the patient became symptomatic and presented with repeated angina and syncope. Diagnosis was made by echocardiography and confirmed by surgery. Complete surgical removal of the tumor was possible, without replacement of the aortic valve. Histology revealed the diagnosis of a papillary fibroelastoma.