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Branch retinal artery occlusion caused by a mitral valve papillary fibroelastoma
R L Zamora1, D A Adelberg, A S Berger
1Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, Missouri.
Purpose:
We studied clinicopathologically a branch retinal artery occlusion caused by an embolus from a mitral valve papillary fibroelastoma.
Methods:
At initial examination the patient, a 37-year-old woman, had visual acuity of 20/400 in her left eye, and eight months later her visual acuity improved to 20/20. The diagnosis required echocardiographic and radiologic studies to localize the lesion.
Results:
The mitral valve papillary fibroelastoma was successfully treated with tumor resection involving the mitral valve.
Conclusions:
It is important to diagnose intracardiac papillary fibroelastoma, because it can cause recurrent arterial embolization and because it responds favorably to tumor resection.