Papillary fibroelastomas of the aortic and tricuspid valves mimicking vegetations in a patient with Turner syndrome

Abstract

A patient with Turner syndrome presented with shortness of breath with exertion. Three-dimensional transesophageal echocardiogram revealed a bicuspid aortic valve with severe aortic stenosis. There were multiple masses attached to the aortic valve and tricuspid valve, which mimicked vegetations. The patient underwent aortic and tricuspid valve replacement. Histology revealed papillary fibroelastomas of the aortic and tricuspid valves. To our knowledge, this is the first report of papillary fibroelastomas involving the left- and the right-sided valves in a patient with Turner syndrome.