Key result
Surgical excision reveals a papillary fibroelastoma with attached thrombus in a multi-territorial stroke patient.
Case Report (n=1)
This case highlights a rare presentation of a left atrial papillary fibroelastoma with an attached thrombus causing a multi-territorial stroke.
Highlights need to consider uncommon cardiac sources in unexplained stroke; leaves open optimal diagnostic and therapeutic approaches.
A 56-year-old male presented with a multi-territorial stroke without traditional cerebrovascular risk factors. A transesophageal echocardiogram revealed an intracardiac lesion attached to the lateral wall of the left atria, consistent with an atrial myxoma. Surgical excision of the lesion was performed and revealed that lesion was in fact a papillary fibroelastoma with thrombus attached, which demonstrates a novel mechanism by which intracardiac masses can cause cerebral events.
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Scully et al. (2024) conducted a case report in Multi-territorial stroke and papillary fibroelastoma (n=1). Surgical excision was evaluated on Pathological diagnosis of the excised lesion. Surgical excision of an intracardiac lesion in a 56-year-old male with a multi-territorial stroke revealed a papillary fibroelastoma with an attached thrombus.
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