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Aortic valve papillary fibroelastoma causing embolic strokes: a case report and review

Papillary fibroelastomas (PFEs) are the second most common benign neoplasms of the cardiac valves and are being recognized more frequently because of higher resolution imaging technology. PFEs are associated with substantial complications that are secondary to systemic embolism. Surgical resection s...

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Autores principales: Miller, Avraham, Perez, Audrik, Pabba, Swathi, Shetty, Vijay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5386611/
https://www.ncbi.nlm.nih.gov/pubmed/28435328
http://dx.doi.org/10.2147/IMCRJ.S119353
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author Miller, Avraham
Perez, Audrik
Pabba, Swathi
Shetty, Vijay
author_facet Miller, Avraham
Perez, Audrik
Pabba, Swathi
Shetty, Vijay
author_sort Miller, Avraham
collection PubMed
description Papillary fibroelastomas (PFEs) are the second most common benign neoplasms of the cardiac valves and are being recognized more frequently because of higher resolution imaging technology. PFEs are associated with substantial complications that are secondary to systemic embolism. Surgical resection should be offered to all patients who have symptoms and to asymptomatic patients who have pedunculated lesions or tumors larger than 1 cm in diameter. Herein, we present a patient who presented for a second time in 2 months with stroke symptoms. During his first admission, a transthoracic echocardiogram was performed and he was sent home after resolution of his symptoms and a grossly negative workup. During his second admission, a transesophageal echocardiogram was performed and the PFE was found and later excised. While this discussion reviews the literature with regard to detection and management, it will hopefully serve as a reminder to keep this on the differential when the workup has remained without an obvious source.
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spelling pubmed-53866112017-04-21 Aortic valve papillary fibroelastoma causing embolic strokes: a case report and review Miller, Avraham Perez, Audrik Pabba, Swathi Shetty, Vijay Int Med Case Rep J Case Report Papillary fibroelastomas (PFEs) are the second most common benign neoplasms of the cardiac valves and are being recognized more frequently because of higher resolution imaging technology. PFEs are associated with substantial complications that are secondary to systemic embolism. Surgical resection should be offered to all patients who have symptoms and to asymptomatic patients who have pedunculated lesions or tumors larger than 1 cm in diameter. Herein, we present a patient who presented for a second time in 2 months with stroke symptoms. During his first admission, a transthoracic echocardiogram was performed and he was sent home after resolution of his symptoms and a grossly negative workup. During his second admission, a transesophageal echocardiogram was performed and the PFE was found and later excised. While this discussion reviews the literature with regard to detection and management, it will hopefully serve as a reminder to keep this on the differential when the workup has remained without an obvious source. Dove Medical Press 2017-03-29 /pmc/articles/PMC5386611/ /pubmed/28435328 http://dx.doi.org/10.2147/IMCRJ.S119353 Text en © 2017 Miller et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Case Report
Miller, Avraham
Perez, Audrik
Pabba, Swathi
Shetty, Vijay
Aortic valve papillary fibroelastoma causing embolic strokes: a case report and review
title Aortic valve papillary fibroelastoma causing embolic strokes: a case report and review
title_full Aortic valve papillary fibroelastoma causing embolic strokes: a case report and review
title_fullStr Aortic valve papillary fibroelastoma causing embolic strokes: a case report and review
title_full_unstemmed Aortic valve papillary fibroelastoma causing embolic strokes: a case report and review
title_short Aortic valve papillary fibroelastoma causing embolic strokes: a case report and review
title_sort aortic valve papillary fibroelastoma causing embolic strokes: a case report and review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5386611/
https://www.ncbi.nlm.nih.gov/pubmed/28435328
http://dx.doi.org/10.2147/IMCRJ.S119353
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