Cardiac papillary fibroelastoma and stroke. Echocardiographic diagnosis and guide to excision.
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.
D000328:Adult; D002561:Cerebrovascular Disorders / Q000209:etiology*; D004452:Echocardiography / Q000379:methods; D005350:Fibroma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006338:Heart Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007430:Intraoperative Care; D008297:Male; D008943:Mitral Valve / Q000473:pathology; D011300:Preoperative Care