title: [Two new cases of cardiac papillary fibroelastoma with ischemic stroke].
abstract: A 22 and 25 year-old man were admitted to our emergency care unit for a stroke of the left superficial middle cerebral artery territory and vertebrobasilar infarction. Complete assessment of ischemic attack retained, in both cases, the presence of a valvular cardiac tumor. After heparin treatment, surgery confirmed the data provided by echocardiography. Histology confirmed the diagnosis of a papillary fibroelastoma. The diagnosis of cardiac tumors is based on transthoracic echocardiography and transesophageal echocardiography (TEE). High definition TEE allows localizing the tumor and determining its relationship with the contiguous anatomical structures. TEE is also a better guide for surgical procedure. Echocardiography is essential in the management of cerebral ischemic attacks in young patients.
authors.affiliation: Service d'Urgence et de réanimation, Hôpital Bellevue, CHU Saint-Etienne.
authors.forename: A
authors.initials: A
authors.lastname: Viallon
authors.forename: P
authors.initials: P
authors.lastname: Garnier
authors.forename: C
authors.initials: C
authors.lastname: Comtet
authors.forename: X
authors.initials: X
authors.lastname: Barral
authors.forename: B
authors.initials: B
authors.lastname: Tardy
authors.forename: D
authors.initials: D
authors.lastname: Michel
authors.forename: J C
authors.initials: JC
authors.lastname: Bertrand
mesh_terms: D000328:Adult; D002545:Brain Ischemia / Q000209:etiology*; D003937:Diagnosis, Differential; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D006338:Heart Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D010210:Papillary Muscles