Introduction:
Primary aortic wall tumors are very rare and consist mainly of malignant
tumors1. Papillary fibroelastomas (PFE) are benign
neoformations usually originating from the valvular endocardium,
consisting of non-vascularized papillary tissue surrounded by an
endothelium line2. The localization of PFE on the
aortic wall is extremely rare3,4.
The clinical presentation of aortic PFE is usually related to
embolization with myocardial infarction and/or
stroke4,5. We report a case of aortic wall PFE
simulating unstable angina, diagnosed with trans-thoracic and
trans-esophageal echocardiography (TTE/TEE) and surgically removed.