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Embolic stroke and cardiac papillary fibroelastoma
1Department of Internal Medicine, Scripps Clinic, La Jolla, California 92037, USA.
Clinical Cardiology
|April 17, 2001
Summary
Papillary fibroelastomas, the most common cardiac valve tumors, can cause embolic stroke. Early diagnosis via transesophageal echocardiography and surgical removal are crucial for recovery.
Area of Science:
- Cardiology
- Neurology
- Oncology
Background:
- Papillary fibroelastomas are rare, benign primary cardiac tumors.
- They are the most common primary tumors affecting cardiac valves.
- These tumors pose a significant morbidity risk due to potential embolization.
Observation:
- A healthy 34-year-old man presented with symptoms of a right occipital embolic stroke.
- Transesophageal echocardiography identified a papillary fibroelastoma on the anterior mitral valve leaflet.
- The patient had no prior history of cardiac conditions or stroke.
Findings:
- Surgical excision of the papillary fibroelastoma was performed.
- The patient experienced no recurrent symptoms post-surgery.
- Histopathological analysis confirmed the benign nature of the tumor.
Implications:
- This case highlights the importance of transesophageal echocardiography in diagnosing embolic stroke causes.
- Early detection and surgical intervention for cardiac tumors can prevent severe neurological events.
- Increased awareness among clinicians regarding cardiac tumors as a source of stroke is warranted.