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Case Rep Cardiol. 2017;2017:8185601. doi: 10.1155/2017/8185601. Epub 2017 Mar 26.

Papillary Fibroelastoma as a Cause of Cardiogenic Embolic Stroke in a .

Case reports in cardiology

Re-I Chin, John J Monda, Maulik Sheth, William Ogle, Gloria Merenda, Debapriya De

Affiliations

  1. Saint Louis University School of Medicine, 1402 S Grand Blvd, Saint Louis, MO 63104, USA.
  2. Department of Internal Medicine, SSM St. Mary's Health Center, 6420 Clayton Rd, Richmond Heights, MO 63117, USA.
  3. Department of Cardiothoracic Surgery, SSM St. Mary's Health Center, 6420 Clayton Rd, Richmond Heights, MO 63117, USA.
  4. Department of Pathology, SSM St. Mary's Health Center, 6420 Clayton Rd, Richmond Heights, MO 63117, USA.

PMID: 28458927 PMCID: PMC5385231 DOI: 10.1155/2017/8185601

Abstract

We describe a case of a young male without stroke risk factors who presented with a sudden onset of left-sided weakness, left hand numbness, and left eye blurriness. CT scan of the head without contrast and diffusion-weighted MRI of the brain with contrast revealed an ischemic stroke in the right middle cerebral artery distribution. Transesophageal echocardiography (TEE) revealed a mobile pedunculated mass on the posterior surface of the mitral valve. This mass was resected and pathology showed a cardiac papillary fibroelastoma (CPFE), which was determined to be the cause of the patient's cardioembolic stroke. Further workup also found that patient had microcytic anemia secondary to

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