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Case Reports
. 2013 Jun 12:2013:bcr2013010092.
doi: 10.1136/bcr-2013-010092.

Cardiac papillary fibroelastoma presenting as acute stroke

Atif Saleem Abbasi  1 , Mark Da Costa, Terry Hennessy, Thomas John Kiernan
Affiliations
Case Reports

Cardiac papillary fibroelastoma presenting as acute stroke

Atif Saleem Abbasi et al. BMJ Case Rep. .

Abstract

We present a case of a young woman who was initially diagnosed with acute stroke with no obvious risk factors. Preliminary investigation with transthoracic echocardiography and subsequent advanced imaging with transoesophageal echocardiography suggested the diagnosis of a benign cardiac tumour on the anterior leaflet of mitral valve. The patient underwent urgent surgical resection. Histology confirmed the diagnosis of cardiac papillary fibroelastoma. She made complete clinical recovery with no recurrence of symptoms.

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Figures

Figure 1
Figure 1
Transthoracic echocardiogram of four-chamber apical view showing a spherical mass attached to the anterior mitral valve leaflet of approximately 0.8 cm in diameter.
Figure 2
Figure 2
Transoesophageal echocardiography: parasternal long axis view showing mushroom-shaped friable mass attached to the anterior leaflet of mitral valve.
Figure 3
Figure 3
An intraoperative image showing the anterior mitral leaflet mass.
Figure 4
Figure 4
A mushroom-shaped mass of 5×3×7 mm.
See this image and copyright information in PMC

References

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    1. Grinda JM, Couetil JP, Chauvaud S, et al. Cardiac valve papillary fibroelastoma: surgical excision for revealed or potential embolization. J Thorac Cardiovasc Surg 1999;2013:106–10 - PubMed

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