Papillary fibroelastoma of a mitral valve chorda can present with ischemic stroke and may be successfully treated with surgical excision and chordal transfer.
May support surgical excision for chordal papillary fibroelastoma presenting with stroke; extends sparse case reports but leaves optimal management open.
A 43-year-old woman presented with an ischemic stroke in the right middle cerebral artery territory. Cardiac echography disclosed a tumor of a primary chordae of the anterior leaflet of the mitral valve. After neurologic recovery, the patient was referred to surgery for excision of the tumor and plastic reconstruction using a chordal transfer technique. Histological examination of the tumor showed a typical papillary fibroelastoma. Papillary fibroelastoma is the third most frequent cardiac benign tumor. The high embolic potential of this tumor is in favor of an aggressive surgical attitude.
No takes yet. Share an insight, caveat, or question.
Marnette et al. (2001) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: