Key result
EVT plus surgical resection yields full recovery in rare MCA occlusion from cardiac papillary fibroelastoma.
Case Report (n=1)
Histopathological analysis of EVT-retrieved thrombus can identify rare cardioembolic sources such as cardiac papillary fibroelastoma, facilitating early definitive surgical management.
May support CPF consideration in select embolic strokes; single case leaves open broader screening or workflow changes.
This case reports a rare proximal left middle cerebral artery occlusion caused by cardiac papillary fibroelastoma (CPF), successfully treated with endovascular thrombectomy (EVT) followed by surgical resection of the cardiac tumour. Histological analysis of the EVT-retrieved specimen matched the mass identified on transoesophageal echocardiogram, confirming the diagnosis of CPF-associated embolic stroke. Early identification of CPF through histopathology likely expedited definitive treatment for this patient, who eventually made a full functional recovery.
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Li et al. (2025) conducted a case report in Ischaemic stroke caused by cardiac papillary fibroelastoma (n=1). Endovascular thrombectomy followed by surgical resection was evaluated on Functional recovery and diagnosis confirmation. Endovascular thrombectomy followed by surgical resection of a cardiac papillary fibroelastoma resulted in full functional recovery in a patient with a rare proximal left middle cerebral artery occlusion.
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