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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.
Abstract:
This report describes the case of a 43-year-old woman with a right-sided cardiac calcifying fibrous pseudotumor who presented with embolic stroke. This rare clinicopathologic entity should be included in the differential diagnosis of cardiac masses. Tissue diagnosis should be pursued. Management should be tailored to symptoms and feasibility of resection.
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