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CorSalud (Revista de Enfermedades Cardiovasculares)

ISSN 2078-7170 (Electronic)
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2020, Number 4

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CorSalud 2020; 12 (4)

Mitral papillary fibroelastoma as a cause of stroke in a young patient

Grados SD, Pérez GA, López PCR, Bellido MJA, Moreno EEM, Millán GJR, Vallejo-Gil JM
Full text How to cite this article

Language: Spanish
References: 7
Page: 468-471
PDF size: 625.87 Kb.


Key words:

heart neoplasms, fibroelastoma, stroke, echocardiography.

ABSTRACT

Papillary fibroelastoma is an infrequent tumor, with a prevalence estimated between 1 and 7.9% of all primary cardiac tumors, which -at the same time- have a very low incidence (between 0.001 and 0.28%), because the great majority of them (almost a 90%) are benign. Here is presented the case of a 41-year-old man who had a stroke. A cardiac tumor in the anterior mitral valve suggestive of papillary fibroelastoma was found in the echocardiographic study. The surgical intervention was decided because of the possibility of resulting embolic complications with recurrence of cerebrovascular ischemic events. A triangular resection of the tumor and mitral annuloplasty were performed with good results. The pathological study confirmed the diagnosis.


REFERENCES

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  2. Blondeau P. Primary cardiac tumors - French studies of 533 cases. Thorac Cardiovasc Surg. 1990;38(Supl 2):192-5.

  3. Lenihan DJ, Yusuf SW. Tumores que afectan al sistema cardiovascular. En: Mann DL, Zipes DP, Libby P, Bonow RO, eds. Braunwald, Tratado de Cardiología: Texto de medicina cardiovascular. 10ª ed. Barcelona: Elsevier; 2016. p. 1863-75.

  4. Rodríguez Padial L (ed). Ecocardiografía. Madrid: Edicomplet; 2006.

  5. Baldi J, Lerman J, Borracci RA, Rubio M, Elsner B. Fibroelastoma papilar de la válvula mitral. Rev Argent Cardiol. 2004;72(5):381-3.

  6. Ortiz de Murúa JA, Hernando E, Arenas C, Duarte J, Fernández Calella D. Embolismo cerebral de repetición en una enferma portadora de fibroelastoma papilar de la válvula mitral, detectado mediante ecocardiografía bidimensional. Rev Esp Cardiol. 1990;43(8):587-9.

  7. Gowda RM, Khan IA, Nair CK, Mehta NJ, Vasavada BC, Sacchi TJ. Cardiac papillary fibroelastoma: a comprehensive analysis of 725 cases. Am Heart J. 2003;146(3):404-10.




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CorSalud. 2020;12