Key result
Surgical resection of a left atrial papillary fibroelastoma was successfully performed after a 1-week delay for safe heparinization in a patient with multiple embolic strokes.
Why the study?
Cardiac fibroelastomas are rare causes of stroke where surgical excision is curative, but the optimal timing of heparinization for cardiac bypass remains challenging.
Population
A 56-year-old female with multiple posterior circulation strokes and a left atrial mass
Design
Case report
Authors
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Supports delayed resection for safe heparinization in select tumor-related strokes; single-case data leaves optimal timing unresolved.
Case Report (n=1)
Highlights the importance of TEE in evaluating embolic strokes of undetermined source and the feasibility of delaying surgical resection for 1 week to allow safe heparinization.
Siddiqui et al. (2022) conducted a case report in Cardiac papillary fibroelastoma (n=1). Surgical resection and anticoagulation was evaluated. Surgical resection of a left atrial papillary fibroelastoma was successfully performed after a 1-week delay for safe heparinization in a patient with multiple embolic strokes.
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