title: Mechanical endovascular procedure for the treatment of acute ischemic stroke caused by total detachment of a papillary fibroelastoma.
abstract: Papillary fibroelastomas (PFEs) are rare cardiac tumors. Despite their benign nature, they are associated with a high risk of embolic complications including stroke. Endovascular treatment has been reported as a safe procedure in patients with myxoma, the most common type of primary cardiac tumor. A case of ischemic stroke due to embolization of a PFE successfully treated with a single pass of a retrievable stent is described. A 64-year-old patient with a right middle cerebral artery syndrome was treated with an intravenous and endovascular protocol as a revascularization procedure. Mechanical thrombectomy resulted in total recanalization with clinical improvement. Histological examination of the clot showed pathological features of a typical PFE. The endovascular treatment was safe and effective. With mechanical embolectomy it is possible to obtain and analyze pathological specimens, enabling the diagnosis of uncommon strokes.
authors.affiliation: Department of Neurology, Hospital de León, León, Spain.
authors.forename: Javier
authors.initials: J
authors.lastname: Tejada
authors.affiliation: Department of Neurology, Hospital de León, León, Spain.
authors.forename: Alberto
authors.initials: A
authors.lastname: Galiana
authors.affiliation: Department of Radiology, Hospital de León, León, Spain.
authors.forename: Oscar
authors.initials: O
authors.lastname: Balboa
authors.affiliation: Department of Neurology, Hospital de León, León, Spain.
authors.forename: Belén
authors.initials: B
authors.lastname: Clavera
authors.affiliation: Department of Neurology, Hospital de León, León, Spain.
authors.forename: Laura
authors.initials: L
authors.lastname: Redondo-Robles
authors.affiliation: Department of Pathology, Hospital de León, León, Spain.
authors.forename: Nieves
authors.initials: N
authors.lastname: Alonso
authors.affiliation: Department of Radiology, Hospital de León, León, Spain.
authors.forename: Víctor
authors.initials: V
authors.lastname: Magadán
mesh_terms: D002545:Brain Ischemia / Q000209:etiology* / Q000601:surgery*; D001932:Brain Neoplasms / Q000150:complications*; D002548:Cerebral Revascularization; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D005350:Fibroma / Q000150:complications*; D006801:Humans; D008875:Middle Aged; D015607:Stents; D020521:Stroke / Q000209:etiology* / Q000601:surgery*; D017131:Thrombectomy
keywords: Stroke; Thrombectomy