Key result
Rare left atrial papillary fibroelastoma presents as a potential embolic source for acute ischemic stroke.
Why the study?
Cardiac papillary fibroelastoma is a rare benign tumor that can cause serious complications such as ischemic stroke, especially when located in unusual sites like the left atrium.
Case Report (n=1)
This case highlights the need for vigilance in detecting cardiac sources of emboli in stroke patients and supports early surgical excision of papillary fibroelastomas when feasible.
Left atrial PFE can cause stroke; extends known sites but leaves open optimal detection and management.
Cardiac papillary fibroelastoma (PFE) is a rare benign cardiac tumor that typically arises on valvular endocardium and carries the potential for serious complications despite its non-malignant nature. We present a case of an elderly patient with a PFE in an unusual location, leading to stroke. The patient's history, diagnostic workup, surgical management, and outcomes are detailed. This case is noteworthy due to the tumor's atypical left atrial location, an exceedingly rare site, and its presentation as an acute ischemic stroke. In the context of this case, we discuss the clinical significance of PFEs, including their epidemiology, pathology, differential diagnosis, and management strategies. This case underlines the need for vigilance in detecting cardiac sources of emboli in stroke patients and supports early surgical excision of PFEs when feasible to avert potentially life-threatening sequelae.
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Nawaz et al. (2025) conducted a case report in Ischemic Stroke Secondary to Left Atrial Papillary Fibroelastoma (n=1). Papillary fibroelastoma was evaluated. A rare left atrial papillary fibroelastoma was identified as a potential embolic source in a 54-year-old male presenting with an acute ischemic stroke.
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