Branch retinal artery occlusion caused by a mitral valve papillary fibroelastoma.
OBJECTIVE
We studied clinicopathologically a branch retinal artery occlusion caused by an embolus from a mitral valve papillary fibroelastoma.


METHODS
At initial examination the patient, a 37-year-old woman, had visual acuity of 20/400 in her left eye, and eight months later her visual acuity improved to 20/20. The diagnosis required echocardiographic and radiologic studies to localize the lesion.


RESULTS
The mitral valve papillary fibroelastoma was successfully treated with tumor resection involving the mitral valve.


CONCLUSIONS
It is important to diagnose intracardiac papillary fibroelastoma, because it can cause recurrent arterial embolization and because it responds favorably to tumor resection.
Zamora
R L
RL
Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, Missouri.
Adelberg
D A
DA
Berger
A S
AS
Huettner
P
P
Kaplan
H J
HJ
D000328:Adult; D004617:Embolism / Q000150:complications; D005260:Female; D005350:Fibroma / Q000150:complications* / Q000473:pathology / Q000601:surgery; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006338:Heart Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D006349:Heart Valve Diseases / Q000150:complications* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008943:Mitral Valve / Q000473:pathology* / Q000601:surgery; D012160:Retina / Q000473:pathology; D015356:Retinal Artery Occlusion / Q000209:etiology* / Q000473:pathology; D014792:Visual Acuity