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Case Report
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 6, 2025; 13(31): 108301
Published online Nov 6, 2025. doi: 10.12998/wjcc.v13.i31.108301
Incidental detection of aortic valve fibroelastomas during endoscopic ultrasound for pancreatic evaluation: Three case reports
Ghassan Elsayed, Lama Mohamed, Maryam Almasaabi, Khalid Barakat, Rama Taha, Mohammed S AlQahtani, George Makdisi, Mohamed Musa, Abdulrahman Alfadda, Eyad Gadour
Ghassan Elsayed, Lama Mohamed, Maryam Almasaabi, Khalid Barakat, Rama Taha, Mohamed Musa, Department of Gastroenterology, Mediclinic Middle East Hospital, Abu Dhabi W67, United Arab Emirates
Mohammed S AlQahtani, Eyad Gadour, Multiorgan Transplant Centre of Excellence, Liver Transplantation Unit, King Fahad Specialist Hospital, Dammam 32253, Saudi Arabia
Mohammed S AlQahtani, Department of Surgery, Imam Abdulrahman Bin Faisal University, Dammam 31441, Saudi Arabia
George Makdisi, Department of Cardiology, Mediclinic Middle East Hospital, Abu Dhabi W67, United Arab Emirates
Abdulrahman Alfadda, Department of Gastroenterology, King Faisal Specialist Hospital and Research Center, Riyadh 11211, Saudi Arabia
Eyad Gadour, Department of Medicine, Faculty of Medicine, Zamzam Univeristy College, Khartoum 11113, Sudan
Author contributions: Elsayed G, Mohamed L, Almasaabi M, Barakat K, and Gadour E contributed to conceptualization, data collection, manuscript writing, and revision, endoscopic procedures and data interpretation; Elsayed G, Makdisi G, Musa M, and Gadour E contributed to radiological analysis; Elsayed G and Gadour E contributed to project supervision, critical review, and final approval of the manuscript; Taha R, AlQahtani MS, Musa M and Alfadda A contributed to data analysis, manuscript writing, and critical review. All authors have read and approved the final version of the manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Eyad Gadour, Consultant, FACP, FRCP, MRCP, Professor, Multiorgan Transplant Centre of Excellence, Liver Transplantation Unit, King Fahad Specialist Hospital, Ammar Bin Thabit Street, Dammam 32253, Saudi Arabia. eyadgadour@doctors.org.uk
Received: April 10, 2025
Revised: May 25, 2025
Accepted: September 11, 2025
Published online: November 6, 2025
Processing time: 203 Days and 10.2 Hours
Core Tip

Core Tip: This case series presents three instances of aortic valve fibroelastoma detected during endoscopic ultrasound for pancreatic and biliary pathologies. These serendipitous findings highlight the potential of endoscopic ultrasound in identifying subtle cardiac lesions during gastrointestinal evaluations. These cases raise important questions regarding the true prevalence of fibroelastomas and highlight the need for established guidelines for their management and surveillance. This series emphasizes the importance of thorough assessments and multidisciplinary approaches in managing unexpected discoveries, while also highlighting the potential thromboembolic risks associated with fibroelastomas and the challenges in determining appropriate management strategies for asymptomatic patients.