Key result
TEE successfully diagnoses and guides mitral valve papillary fibroelastoma excision in a young stroke patient.
Case Report (n=1)
Two-dimensional echocardiography, including transesophageal imaging, is effective for diagnosing and guiding the surgical excision of cardiac papillary fibroelastomas, which can be a cause of stroke.
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May support TEE for rare mitral fibroelastoma diagnosis and excision in stroke; leaves open generalizability beyond single cases.
Cardiac papillary fibroelastomas are rare and have been considered a "benign," incidental finding. With two-dimensional echocardiography, these tumors can now be readily diagnosed. A young male patient who had a stroke due to a mitral valve papillary fibroelastoma is described. In this patient, not only did preoperative echocardiography establish the diagnosis, but intraoperative transesophageal two-dimensional echocardiography was utilized to guide tumor excision.
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Topol et al. (1986) conducted a case report in Cardiac papillary fibroelastoma and stroke (n=1). Tumor excision guided by intraoperative transesophageal two-dimensional echocardiography was evaluated on Diagnosis and tumor excision. Preoperative and intraoperative transesophageal two-dimensional echocardiography successfully diagnosed and guided the excision of a mitral valve papillary fibroelastoma in a young male patient presenting with stroke.
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