Çetinarslan O | Volume 1; Issue 1 (2020) | Mapsci- JCCR-1(1)-003 | Case Report
Citation: Çetinarslan O and Bostan C. A Case Report about Cardiac Fibroelastoma Presenting
with Stroke in a Young Patient. J Cardiol Cardiovasc Res. 2020;1(1):1-4.
1
A Case Report about Cardiac Fibroelastoma Presenting with
Stroke in a Young Patient
Ozge Çetinarslan
*
and Cem Bostan
İstanbul Üniversity, Kardiyoloji Enstitüsü, Kalp ve Damar Cerrahisi, AD, İstanbul
*
Corresponding Author: Ozge Çetinarslan İstanbul Üniversity, Kardiyoloji Enstitüsü, Kalp ve Damar
Cerrahisi, AD, İstanbul
Received Date: 01-07-2020; Accepted Date: 01-16-2020; Published Date: 01-21-2020
Copyright
©
2020 by Çetinarslan O, et al. All rights reserved. This is an open access article distributed under the
terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and
reproduction in any medium, provided the original author and source are credited.
Keywords
Cardiac Fibroelastoma; Stroke; Mixomas
Introduction
Primary cardiac tumors are rare and most of them are benign masses originating from
valvular endocardium. The most common cardiac tumors are mixomas. Cardiac
fibroelastomas which constitute 10% of all cardiac tumors are the second most common
neoplasms [1]. Papillary fibroelastomas (PFE) are usually seen in the left side of the heart and
in valvular structures. The most often affected valvular structure is non-coronary leaflet of the
aortic valve [2]. They can cause different clinical conditions such as acute strokes without an
obvious risk factor, arrhythmias and heart failure [3]. We present a case report about a patient
with a fibroelastoma in chordae tendinea of anterior leaflet of mitral valve. He was applied to
emergency department with acute stroke. At the end of his acute treatment, he was consulted
to cardiology for etiological research.
Case Report
A 47 year old male patient applied to emergency department with aphasia. His medical
history is totally normal. Left middle cerebral artery infarct was found and acute ischemic
stroke treatment was given to the patient with ASA 300 mg and LMWH 0.6 cc twice a day.
The patient’s signs and symptoms recovered completely day by day. Etiological screening for
stroke was planned. His immunological panel for lupus and Bechtel’s disease and
thrombophilia screen was negative. His cardiovascular examination was insignificant with
normal sinus rhythm and normal transthoracic echocardiogram (TTE) findings. After relief of
his symptoms, the patient was referred to our cardiology department for further examination
about cardio embolic causes. We planned advanced imaging with 2D and 3D Trans
Journal of Cardiology and Cardiovascular Research
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