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Amir Ali Rahsepar, MD, Ahmadreza Ghasemiesfe, MD, Rahul N

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1 A Papillary Fibroelastoma Involving Aortic and Pulmonary Valves: Findings on Multimodality Imaging 
Amir Ali Rahsepar, MD, Ahmadreza Ghasemiesfe, MD, Rahul N. Sawlani, MD, Marcos P. Ferreira Botelho, MD, Ajit S. Paintal, MD, Yanki Tumer, MD, S. Chris Malaisrie, MD, Benjamin H. Freed, MD, Jeremy D. Collins, MD, James C. Carr, MD  The Annals of Thoracic Surgery  Volume 103, Issue 1, Pages e73-e75 (January 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Magnetic resonance images of the pulmonary and aortic valve. (A) Late gadolinium enhancement of a pulmonary valve lesion (yellow arrow). (B) Late gadolinium enhancement of an aortic lesion (yellow arrow). (C) Short-TI inversion recovery (STIR) dark blood image shows a hyperintense pulmonary valve lesion (yellow arrow). (D) STIR dark blood image of aortic valve demonstrating a hyperintense lesion within the sinus of Valsalva (yellow arrow). The Annals of Thoracic Surgery  , e73-e75DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Axial view from an electrocardiogram (ECG)-gated cardiac computed tomography (CT) at the (A) pulmonary artery (yellow arrow) and (B) ascending aorta (yellow arrow). ECG-gated CT demonstrated that the pulmonic and aortic valve lesions were at different levels, indicating discrete lesions in each vessel rather than a lesion invading from one vessel to the other. The Annals of Thoracic Surgery  , e73-e75DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 (A) Intraoperative view of the pulmonary papillary fibroelastoma along the right ventricular outflow tract. (B) Surgical vision of the aortic papillary fibroelastoma. (C) Histopathologic examination of the excised mass with arborizing fibroelastotic stroma surfaced by endocardium. The Annals of Thoracic Surgery  , e73-e75DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions


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