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Cardiac papillary fibroelastoma and stroke. Echocardiographic diagnosis and guide to excision
Insights
Rare cardiac papillary fibroelastomas, once thought benign, are now diagnosed with echocardiography. This case highlights a young male patient experiencing a stroke due to a mitral valve tumor, emphasizing diagnostic and surgical guidance.
Area of Science:
- Cardiology
- Oncology
Background:
- Cardiac papillary fibroelastomas are rare tumors, often incidentally discovered and historically considered benign.
- Advances in two-dimensional echocardiography have improved the diagnostic capabilities for these cardiac masses.
Observation:
- A case study of a young male patient presenting with a stroke attributed to a mitral valve papillary fibroelastoma.
Findings:
- Preoperative echocardiography successfully diagnosed the mitral valve papillary fibroelastoma.
- Intraoperative transesophageal echocardiography provided crucial guidance for the surgical excision of the tumor.
Implications:
- This case underscores the potential embolic risk of cardiac papillary fibroelastomas, even those considered benign.
- Echocardiography is vital for both diagnosis and surgical planning in managing cardiac valve tumors.
- Early diagnosis and intervention are critical for preventing cerebrovascular events in patients with cardiac tumors.
Abstract:
Cardiac papillary fibroelastomas are rare and have been considered a "benign," incidental finding. With two-dimensional echocardiography, these tumors can now be readily diagnosed. A young male patient who had a stroke due to a mitral valve papillary fibroelastoma is described. In this patient, not only did preoperative echocardiography establish the diagnosis, but intraoperative transesophageal two-dimensional echocardiography was utilized to guide tumor excision.