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Multi-organ infarctions secondary to a cardiac papillary fibroelastoma in early childhood
Fahad Alfares1, Mohammed Alghamdi1, Abdulrahman Alkanhal1
1Pediatric Cardiology Unit, Department of Cardiac Sciences, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Insights
A rare cardiac papillary fibroelastoma (CPFE) was diagnosed in a pediatric stroke patient. This highlights the need to consider CPFE in children with embolic events and cardiac masses.
Area of Science:
- Pediatric Cardiology
- Cardiovascular Pathology
- Pediatric Neurology
Background:
- Cardiac tumors are rare in children.
- Embolic events, including stroke and renal infarct, can be caused by cardiac masses.
- Cardiac papillary fibroelastoma (CPFE) is a rare cardiac tumor.
Abstract:
We report a case of a 4-year-old female who presented with an acute stroke and a renal infarct. Further diagnostic workup with a transthoracic echocardiogram revealed a cardiac mass, and a subsequent cardiac magnetic resonance imaging (MRI) confirmed the presence of a cardiac tumor. The patient underwent surgical resection of the cardiac mass, and histopathological analysis confirmed the diagnosis of a cardiac papillary fibroelastoma (CPFE). This case highlights the importance of considering CPFE in the differential diagnosis for pediatric patients presenting with embolic events and stroke concurrent with a cardiac mass, despite its rarity in this age group.
Supplementary Information:
The online version contains supplementary material available at 10.1007/s12055-025-02166-5.
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