Papillary Fibroelastoma and Cerebrovascular Disease: Rare Stroke Cause and Multimodality Imaging Importance.

ABSTRACT:

Background

Papillary fibroelastoma (PFE) is a rare benign cardiac tumor that may lead to embolic complications, particularly in patients with prosthetic valves.

Case summary

A 62-year-old woman presented with dizziness, nausea, and left ocular paralysis. She had a history of hypertension, dyslipidemia, and mitral valve replacement. Electrocardiogram showed atrial fibrillation; transthoracic and transesophageal echocardiography revealed a mobile, pedunculated left ventricular mass (1.4 × 1.0 cm). Magnetic resonance imaging showed old cerebral infarcts. She underwent thoracotomy with mass resection and mitral/tricuspid valve replacement. Postoperatively, she developed nosocomial pneumonia, treated successfully with cephalosporins. She was discharged 16 days later. Histopatholo

SUBMITTER: Valencia-Hernandez HA 

PROVIDER: S-EPMC12665856 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature