title: [Cardiac papillary fibroelastoma, a rare valvular source of cerebral embolism: report of two cases].
abstract: Cardiac papillary fibroelastomas are very rare and benign tumors, usually involving heart valves. They are sometimes asymptomatic. However, they become serious illnesses when associated with clinical events, as systemic embolism. Diagnosis is evoked by echocardiography and confirmed by histopathological examination. The only curative treatment consists of the excision of the tumor under cardiopulmonary bypass. This approach is safe and prevents the risk of embolism recurrence. We report the cases of two patients suffering from acute cerebral embolism. Transthoracic and transoesophageal echocardiography detected tumors of the mitral and aortic valve in the first and second patients, respectively. Preserving the valve integrity, both masses were surgically excised and pathological findings confirmed the diagnosis. As surgical management is curative, we believe that these lesions should be always removed.
authors.affiliation: Service de chirurgie cardiovasculaire, hôpital du Bocage, 2, boulevard du Maréchal-de-Lattre-de-Tassigny, 21034 Dijon cedex, France. jeanpierreberne@yahoo.fr
authors.forename: J-P
authors.initials: JP
authors.lastname: Berne
authors.forename: O
authors.initials: O
authors.lastname: Bouchot
authors.forename: S
authors.initials: S
authors.lastname: Jazayeri
authors.forename: E
authors.initials: E
authors.lastname: Tatou
authors.forename: M-C
authors.initials: MC
authors.lastname: Gomez-Bielfeld
authors.forename: L
authors.initials: L
authors.lastname: Martin
authors.forename: R
authors.initials: R
authors.lastname: Brenot
authors.forename: M
authors.initials: M
authors.lastname: David
mesh_terms: D000328:Adult; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000379:methods; D017548:Echocardiography, Transesophageal; D004695:Endocardial Fibroelastosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005350:Fibroma; D006338:Heart Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D020766:Intracranial Embolism / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D010210:Papillary Muscles / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome