Papillary fibroelastoma, unusual cause of stroke in a young man: a case report

Journal of Cardiothoracic Surgery
Elisabetta GrollaFausto Rigo

Abstract

Papillary fibroelastoma is the third most common primary benign tumor with an incidence of up to 0.33% in autopsy series; it accounts for approximately 75% of all cardiac valvular tumors. We describe a rare case of a 28-Year-old man that while playing football, had a sudden onset of neurological deficit: aphasia, right hemiparesis and right facial numbness. Transthoracic echocardiography (TTE) showed a 10x10 mm mass attached to the anterior mitral valve leaflet. The patient was treated surgically for the prevention of further embolic complications. Histologic examination of the resected mass revealed a papillary fibroelastoma. It is the third most frequent primary cardiac tumor, after myxoma and fibroma, and the most common primary tumor of heart valves. Despite the benign nature of this tumor, it carries very high risk of embolic complications. The successful complete resection of the papillary fibroelastoma is curative and the long-term postoperative prognosis is excellent. Differential diagnosis of cardiac masses requires clinical informations, laboratory tests, blood cultures and appropriate use of imaging modalities. Papillary fibroelastoma is a potential cause of embolic stroke in the young. The prompt surgical excision o...Continue Reading

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Citations

Feb 27, 2019·Current Neurology and Neuroscience Reports·Madalena RosárioJosé M Ferro
Nov 18, 2020·Clinical Medicine : Journal of the Royal College of Physicians of London·Henrietta HelliwellGabriel Sc Yiin
Feb 24, 2021·Stroke; a Journal of Cerebral Circulation·Laura Esteban-LucíaMarcelino Cortés García
Dec 7, 2018·The Journal of Thoracic and Cardiovascular Surgery·David D Yuh

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