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Fibroelastoma in an unusual location: a rare cause of multiple cerebrovascular events
Echo Research & Practice volume 6, pages K13–K17 (2019)
Summary
Fibroelastomas are rare, primary cardiac tumours with a predilection for valvular endothelium and a propensity to embolise. We present the case of a 72-year-old male with multiple cerebrovascular events (CVA) despite oral anticoagulation. Transoesophageal echocardiography (TOE) revealed a small highly mobile left atrial mass with frond-like projections attached by a stalk to the orifice of the LAA. The mass was surgically excised and confirmed to be a fibroelastoma on histological examination. This case report describes a rare but treatable source of multiple cerebrovascular events and highlights the utility of TOE in the assessment of cardiac embolic source.
References
Mankad R, Herrmann J. Cardiac tumors: echo assessment. Echo Research and Practice 2016 3 R65–R77. (https://doi.org/10.1530/ERP-16-0035)
Edwards FH, Hale D, Cohen A, Thompson L, Pezzella AT, Virmani R. Primary cardiac valve tumors. Annals of Thoracic Surgery 1991 52. (https://doi.org/10.1016/0003-4975(91)91293-5)
Kamel H, Healey JS. Cardioembolic stroke. Circulation Research 2017 120. (https://doi.org/10.1161/CIRCRESAHA.116.308407)
Tamin SS, Maleszewski JJ, Scott CG, Khan SK, Edwards WD, Bruce CJ, Oh JK, Pellikka PA, Klarich KW. Prognostic and bioepidemiologic implications of papillary fibroelastomas. Journal of the American College of Cardiology 2015 65. (https://doi.org/10.1016/j.jacc.2015.03.569)
Sun JP, Asher CR, Yang XS, Cheng GG, Scalia GM, Massed AG, Griffin BP, Ratliff NB, Stewart WJ, Thomas JD. Clinical and echocardiographic characteristics of papillary fibroelastomas: a retrospective and prospective study in 162 patients. Circulation 2001 103. (https://doi.org/10.1161/01.cir.103.22.2687)
Gowda RM, Khan IA, Nair CK, Mehta NJ, Vasavada BC, Sacchi TJ. Cardiac papillary fibroelastoma: a comprehensive analysis of 725 cases. American Heart Journal 2003 146. (https://doi.org/10.1016/S0002-8703(03)00249-7)
Ngaage DL, Mullany CJ, Daly RC, Dearani JA, Edwards WD, Tazelaar HD, McGregor CG, Orszulak TA, Puga FJ, Schaff HV, et al.. Surgical treatment of cardiac papillary fibroelastoma: a single center experience with eighty-eight patients. Annals of Thoracic Surgery 2005 80. (https://doi.org/10.1016/j.athoracsur.2005.04.030)
Cianciulli TF, Soumoulou JB, Lax JA, Saccheri MC, Cozzarin A, Beck MA, Ferreiro DE, Prezioso HA. Papillary fibroelastoma: clinical and echocardiographic features and initial approach in 54 cases. Echocardiography 2016 33. (https://doi.org/10.1111/echo.13351)
Klarich KW, Enriquez-Sarano M, Gura GM, Edwards WD, Tajik AJ, Seward JB. Papillary fibroelastoma: echocardiographic characteristics for diagnosis and pathologic correlation. Journal of the American College of Cardiology 1997 30. (https://doi.org/10.1016/s0735-1097(97)00211-8)
Anastacio MM, Moon MR, Damiano RJ, Pasque MK, Maniar HS, Lawton JS. Surgical experience with cardiac papillary fibroelastoma over a 15-year period. Annals of Thoracic Surgery 2012 94. (https://doi.org/10.1016/j.athoracsur.2012.04.006)
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This case report did not receive any specific grant from any funding agency in the public, commercial or not-for-profit sector.
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Mashicharan, M., El-Dean, Z., Zlocha, V. et al. Fibroelastoma in an unusual location: a rare cause of multiple cerebrovascular events. Echo Res Pract 6, K13–K17 (2019). https://doi.org/10.1530/ERP-19-0012
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DOI: https://doi.org/10.1530/ERP-19-0012