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Age and Ageing 2005 34(2):185-186; doi:10.1093/ageing/afi018
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Age and Ageing Vol. 34 No. 2 © British Geriatrics Society 2005; all rights reserved

Case Report

Rapidly growing mass on the tricuspid valve in an elderly woman: a diagnostic dilemma

Claire Dow1, Kris Warren2, Kula Ranjandayalan3 and Mike Dymond3

1 Royal London Hospital, Healthcare of the Elderly, London, UK
2 Newham University Hospital, Care of the Elderly, London, UK
3 Newham University Hospital, Cardiology, London, UK

Address correspondence to: C. Dow. Email: clairedow{at}doctors.org.uk

Background: papillary fibroelastoma is a rare, benign cardiac valve tumour, which can mimic conditions such as atrial myxoma and infective endocarditis.

Case report: an elderly lady presented with shortness of breath and chest pain and a mass on echocardiogram, which was confirmed on surgical excision to be a papillary fibroelastoma.

Discussion: there were aspects of this lady’s case that caused confusion over the diagnosis and showed how rare conditions can cause diagnostic problems.

Keywords: fibroelastoma, infective endocarditis, aortic stenosis, elderly

Received October 11, 2004; accepted in revised form October 19, 2004.


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