RT Journal Article
SR Electronic
T1 Aortic valve fibroelastoma: a rare cause of stroke
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr2016217631
DO 10.1136/bcr-2016-217631
VO 2016
A1 Vivek Kumar
A1 Parita Soni
A1 Arsalan Hashmi
A1 Manfred Moskovits
YR 2016
UL http://casereports.bmj.com/content/2016/bcr-2016-217631.abstract
AB The prevalence of primary cardiac tumours varies from 0.02% to 0.45%. Cardiac papillary fibroelastoma (CPF) is a rare tumour diagnosed incidentally on imaging. The clinical manifestations result from thromboembolisation and include transient ischaemic attack, stroke and sudden cardiac death. We present a patient aged 57 years with CPF arising from the aortic valve. The patient presented with right hemiparesis due to acute stroke. He received tissue plasminogen activator with complete resolution of neurological symptoms. Echocardiography revealed a broad-based, gelatinous, non-mobile mass on the left aortic cusp. The tumour was excised sparing the aortic valve. The patient recovered rapidly without any complications. The histopathological examination confirmed the diagnosis of CPF. A review of the literature suggests that CPF is a rare but treatable cause of stroke. The course is not clear and there are no tumours or patient-related characteristics which could predict the risk of thromboembolisation. Surgical treatment is definite and is relatively safe.