Figure 5.

Incidental finding on TTE in an asymptomatic patient followed by TEE. The transesophageal image revealed a papillary fibroelastoma attached to the left cusp of the aortic valve (red arrows) 3D TEE with cropping in long axis (A,B), and short axis view ((C,D) during systole and diastole, respectively). Please note that the pedunculated lesion is attached on the tip of the aortic surface of the aortic valve, is not protruding in the LVOT during systole and doesn’t lead to valve destruction or insufficiency.