Key result
Surgical excision of mitral valve papillary fibroelastoma prevents recurrent embolic stroke.
Why the study?
Papillary fibroelastomas are rare, benign, primary cardiac tumors that are the most common primary tumor of the cardiac valves and may cause great morbidity risk from embolization.
Case Report (n=1)
No
Illustrates the importance of transesophageal echocardiography to identify rare cardiac embolic sources like papillary fibroelastoma in young patients with ischemic stroke, enabling curative surgical excision.
Answers are grounded in this paper and cite their sources.
Raises suspicion for valvular tumors in young stroke patients; leaves open long-term outcomes after excision.
Papillary fibroelastomas are rare, benign, primary cardiac tumors. They are, however, the most common primary tumor of the cardiac valves and may cause great morbidity risk from embolization. This paper reports the case of a healthy 34-year-old man who presented with symptoms of a right occipital embolic stroke. Transesophageal echocardiography revealed a papillary fibroelastoma on the anterior leaflet of the mitral valve. The papillary fibroelastoma was surgically excised and he has had no recurrent symptoms. This case illustrates the importance of obtaining a transesophageal echocardiogram to investigate a possible embolic source in patients with ischemic stroke.
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Shing et al. (2001) conducted a case report in Right occipital embolic stroke secondary to mitral valve papillary fibroelastoma (n=1). Surgical excision of mitral valve papillary fibroelastoma following transesophageal echocardiography was evaluated on Recurrent symptoms. Surgical excision of a mitral valve papillary fibroelastoma identified via transesophageal echocardiography resulted in no recurrent symptoms in a 34-year-old man with embolic stroke.
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