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Central retinal artery occlusion as the initial sign of aortic valve papillary fibroelastoma
E Lopez-Sanchez1, E F Muñoz, J A Aviño Martinez
1Hospital La Fe,, Valencia, Spain. elopsan@ctv.es
Insights
A young man
Area of Science:
- Cardiology
- Ophthalmology
- Oncology
Background:
- Central retinal artery occlusion (CRAO) is a rare condition, particularly in young individuals.
- Cardiac tumors are an uncommon cause of embolic events leading to CRAO.
Observation:
- A case report details a young male patient presenting with CRAO.
- Diagnostic workup revealed an aortic valve papillary fibroelastoma as the underlying cause.
Findings:
- The aortic valve papillary fibroelastoma was surgically resected.
- Histopathologic examination confirmed the tumor's nature.
Implications:
- This case highlights the importance of cardiac evaluation in young CRAO patients.
- Early diagnosis and treatment of cardiac tumors like papillary fibroelastoma can prevent further embolic events, including stroke and sudden death.
Purpose:
We describe a central retinal artery occlusion in a young man who was subsequently found to have an aortic valve papillary fibroelastoma.
Methods:
Case report with clinical, echocardiographic, and histopathologic observations.
Results:
The aortic valve papillary fibroelastoma was successfully treated with tumor resection.
Conclusion:
Appropriate investigations in young patients with central retinal artery occlusion should therefore be conducted, including transthoracic and transesophageal echocardiography, to diagnose and treat this tumor, because failure to diagnose this tumor may result in further embolic events, including stroke and sudden death.