Portal de Periódicos da CAPES

Cardiac Papillary Fibroelastoma:A Rare Cause of Isch emic Stroke in the Young

1999; Karger Publishers; Volume: 9; Issue: 1 Linguagem: Inglês

10.1159/000015895

1421-9786

C. Giannesini, Nathalie Kubis, Anh Quoc Nguyen, Mona Wassef, Joanne Mikol, France Woimant,

Sarcoma Diagnosis and Treatment

Among etiologies of stroke in young adults, primary cardiac tumors are very rare. We report the case of a 37-year-old woman who was admitted for an ischemic stroke in the right middle cerebral artery region. Etiologic investigations revealed, after transthoracic and transesophageal echocardiography, an aortic valve tumor. Treatment was first medical with anticoagulation, then surgical. Histological examination showed a papillary fibroelastoma. After a review of the literature, the possible mechanisms of the ischemic event are discussed and lead to the conclusion that this tumor must be surgically excised, even if asymptomatic, because of recurrent ischemic complications responsible for myocardial infarction, stroke and sudden death.