The follow electronic only articles are published in conjunction with this issue of Heart.

Incidental finding of a papillary fibroelastoma on the aortic valve in 16 slice multi-detector row computed tomography

A Bootsveld, J Puetz, E Grube

Papillary fibroelastoma (PFE) is a benign, rare, gelatinous tumour derived from the endocardium, primarily the cardiac valves, which is usually diagnosed by high resolution echocardiography. Although rarely clinically symptomatic, PFEs have a potential for coronary ischaemia, systemic embolisation with neurologic symptoms, and sometimes valvar dysfunction. There are reports of coronary occlusion and even sudden cardiac death due to a ball valve phenomenon on the coronary ostia. This report describes the characteristics of a PFE with multidetector 16 slice computed tomography and 1.5 Tesla cardiac magnetic resonance imaging.

(Heart 2004;90:e35) www.heartjnl.com/cgi/content/full/90/6/e35

Pseudo-pericardial tamponade after perforation of the right coronary artery

C Steinwender, R Hofmann, F Leisch

A case of perforation of the right coronary artery, which was complicated by an intramural right ventricular haematoma with pseudo-pericardial tamponade resulting in fatal asystole, is presented.

(Heart 2004;90:e36) www.heartjnl.com/cgi/content/full/90/6/e36