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Left atrium papillary fibroelastomas: a cause of cerebral emboli.

Ciss AG, Ba PS, Dieng PA, Azarnoush K, Camilleri L, Geoffroy E, Innorta A, Legault B, Cosserant B, de Riberolles C, N'diaye M - Case Rep Cardiol (2012)

Bottom Line: Valvular locations are predominant; location in left atrium is rare.Transoesophageal echocardiography diagnosed a mobile mass.The patient was treated with surgical resection without further embolic complication.

View Article: PubMed Central - PubMed

Affiliation: Service de Chirurgie Thoracique et Cardiovasculaire, Centre Hospitalier National Universitaire de Fann, BP 5035, Dakar, Senegal.

ABSTRACT
Papillary fibroelastomas are cardiac benign tumours. Among the benign cardiac tumor, papillary fibroelastomas are reported second after myxomas. Most often diagnosed incidentally, papillary fibroelastomas may embolize to cerebral circulation. Valvular locations are predominant; location in left atrium is rare. In this paper, we present a case of papillary fibroelastoma located in left atrium with symptoms of cerebral embolization. Transoesophageal echocardiography diagnosed a mobile mass. The patient was treated with surgical resection without further embolic complication.

No MeSH data available.


Related in: MedlinePlus

Transesophageal image of the left atrial mass.
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fig1: Transesophageal image of the left atrial mass.

Mentions: A sixty-four-year-old woman was referred to the department of cardiovascular surgery for the management of ischemic cerebral stroke suspected of cardiac etiology. During the preceding four months, she experienced one episode of transient ischemic cerebral attack. Physical examination was consistent with a monoparesis of left upper extremity and left facial paralysis. No more sign occurred. Cerebral CT scan revealed embolic lesion in the right sylvian artery area. Medical history showed a high blood pressure and hypercholesterolemia. The patient had no prior history of arrhythmia. Electrocardiogram (EKG) and Holter EKG were in sinusal rhythm. Investigations in search of a potential cause of cerebral embolism included a Doppler ultrasound of the carotid arteries which was normal. Transthoracic echocardiography (TTE) (Figure 1) showed an 8 × 8 mm mobile mass attached to the left atrium wall. Transesophageal echocardiography (TEE) (Figure 2) showed a second mass attached to free wall of left atrium (4.3 mm).


Left atrium papillary fibroelastomas: a cause of cerebral emboli.

Ciss AG, Ba PS, Dieng PA, Azarnoush K, Camilleri L, Geoffroy E, Innorta A, Legault B, Cosserant B, de Riberolles C, N'diaye M - Case Rep Cardiol (2012)

Transesophageal image of the left atrial mass.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4008395&req=5

fig1: Transesophageal image of the left atrial mass.
Mentions: A sixty-four-year-old woman was referred to the department of cardiovascular surgery for the management of ischemic cerebral stroke suspected of cardiac etiology. During the preceding four months, she experienced one episode of transient ischemic cerebral attack. Physical examination was consistent with a monoparesis of left upper extremity and left facial paralysis. No more sign occurred. Cerebral CT scan revealed embolic lesion in the right sylvian artery area. Medical history showed a high blood pressure and hypercholesterolemia. The patient had no prior history of arrhythmia. Electrocardiogram (EKG) and Holter EKG were in sinusal rhythm. Investigations in search of a potential cause of cerebral embolism included a Doppler ultrasound of the carotid arteries which was normal. Transthoracic echocardiography (TTE) (Figure 1) showed an 8 × 8 mm mobile mass attached to the left atrium wall. Transesophageal echocardiography (TEE) (Figure 2) showed a second mass attached to free wall of left atrium (4.3 mm).

Bottom Line: Valvular locations are predominant; location in left atrium is rare.Transoesophageal echocardiography diagnosed a mobile mass.The patient was treated with surgical resection without further embolic complication.

View Article: PubMed Central - PubMed

Affiliation: Service de Chirurgie Thoracique et Cardiovasculaire, Centre Hospitalier National Universitaire de Fann, BP 5035, Dakar, Senegal.

ABSTRACT
Papillary fibroelastomas are cardiac benign tumours. Among the benign cardiac tumor, papillary fibroelastomas are reported second after myxomas. Most often diagnosed incidentally, papillary fibroelastomas may embolize to cerebral circulation. Valvular locations are predominant; location in left atrium is rare. In this paper, we present a case of papillary fibroelastoma located in left atrium with symptoms of cerebral embolization. Transoesophageal echocardiography diagnosed a mobile mass. The patient was treated with surgical resection without further embolic complication.

No MeSH data available.


Related in: MedlinePlus