Chasing Ghosts: Unexplained Artifactual Echogenicity on the Aortic Valve Leading to Unwarranted Surgery

Graphical abstract
Highlights • Papillary fibroadenomas are most commonly associated with aortic valves. • Echogenic artifacts may sometimes be misinterpreted as papillary fibroadenomas. • Confirmation of papillary fibroadenomas with alternative imaging modalities may be helpful.