Right-Sided Cardiac Calcifying Fibrous Pseudotumor Manifesting With Embolic Stroke

Ayelet Shapira-Daniels1, Gal Aviel1, Stephanie Benshushan2

  • 1Department of Cardiothoracic Surgery, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.

Insights

A rare cardiac tumor, calcifying fibrous pseudotumor, can cause embolic stroke. Early diagnosis and tailored treatment are crucial for managing this condition.

Area of Science:

  • Cardiology
  • Pathology
  • Oncology

Background:

  • Cardiac tumors are uncommon and can present with diverse clinical manifestations.
  • Calcifying fibrous pseudotumor is a rare, benign-appearing entity with potential for significant complications.

Observation:

  • A 43-year-old woman presented with embolic stroke.
  • Imaging revealed a right-sided cardiac mass consistent with calcifying fibrous pseudotumor.

Findings:

  • The patient's embolic stroke was attributed to the cardiac calcifying fibrous pseudotumor.
  • Histopathological examination confirmed the diagnosis of calcifying fibrous pseudotumor.

Implications:

  • Calcifying fibrous pseudotumor should be considered in the differential diagnosis of cardiac masses, especially in patients with embolic events.
  • Prompt tissue diagnosis and individualized management strategies, including surgical resection when feasible, are essential for optimal patient outcomes.

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