BMJ Case Reports 2013; doi:10.1136/bcr-2013-010092

Cardiac papillary fibroelastoma presenting as acute stroke

  1. Thomas John Kiernan1
  1. 1Department of Cardiology, University Hospital Limerick, Limerick, Ireland
  2. 2Department of Cardiothoracic Surgery, University Hospital Galway, Galway, Ireland
  1. Correspondence to Dr Atif Saleem Abbasi, atifabbasi655{at}


We present a case of a young woman who was initially diagnosed with acute stroke with no obvious risk factors. Preliminary investigation with transthoracic echocardiography and subsequent advanced imaging with transoesophageal echocardiography suggested the diagnosis of a benign cardiac tumour on the anterior leaflet of mitral valve. The patient underwent urgent surgical resection. Histology confirmed the diagnosis of cardiac papillary fibroelastoma. She made complete clinical recovery with no recurrence of symptoms.

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