Fibroelastoma in the chordae tendineae of the mitral valve as a cause of embolic stroke

Authors

  • Iñigo Pereiro Lili Cardiology Service. Basurto University Hospital, Bilbao
  • Nora García Ibarrondo Cardiology Service. Basurto University Hospital, Bilbao
  • Arantza Manzanal Rey Cardiology Service. Basurto University Hospital, Bilbao
  • Mireia Codina Prat Cardiology Service. Basurto University Hospital, Bilbao
  • Lara Ruiz Gómez Cardiology Service. Basurto University Hospital, Bilbao

DOI:

https://doi.org/10.37615/retic.v4n1a10

Keywords:

Mitral fibroelastoma, stroke.

Abstract

We present 2 cases of cardiac fibroelastoma on the chordae tendineae of the mitral valve that debuted as an embolic stroke. In both cases, the presumptive diagnosis was made by echocardiography, they underwent surgery and the initial suspicion was confirmed in the histological study. Cardiac fibroelastoma is the second most common primary cardiac tumor. It’s a cause of strokes and embolisms. The management of these is controversial due to their low prevalence in general population.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Tamin, S. S., Maleszewski, J. J., Scott, C. G., Khan, S. K., Edwards, W. D., Bruce, C.J.,Klarich, K. W. (2015). Prognostic and Bioepidemiologic Implications of Papillary Fibroelastomas. Journal of the American College of Cardiology, 65(22), 2420–2429. doi: https://doi.org/10.1016/j.jacc.2015.03.569

Mariscal co G, Bruno VD, Borsani P, Dominici C, Sala A. Papillary Fibroelastoma: Insight to a Primary Cardiac Valve Tumor. Journal of Cardiac Surgery. Marzo de 2010;25(2):198-205. doi: https://doi.org/10.1111/j.1540-8191.2009.00993.x

Ziabakhsh S, Jalalian R, Mokhtari-Esbuie F. Papillary fibroelastoma of a mitral valve chordae, presenting with atypical chest pain and palpitation: A case report and the literature. Caspian J Intern Med. 2014;5(2):123-6.

Evangelista-Masip A. Manual de ecocardiografía clínica. España: CTO EDITORIAL; 2018.

Klarich KW, Enriquez-Sarano M, Gura GM, Edwards WD, Tajik AJ, Seward JB. Papillary Fibroelastoma: Echocardiographic Characteristics for Diagnosis and Pathologic Correlation. Journal of the American College of Cardiology. 1997;30(3):784-90. doi: https://doi.org/10.1016/s0735-1097(97)00211-8

Grinda JM, Couetil JP, Chauvaud S, D’Attellis N, Berrebi A, Fabiani JN, et al. Cardiac valve papillary fibroelastoma: Surgical excision for revealed or potential embolization. Journal of Thoracic and Cardiovascular Surgery. 1999;117(1):106-10. doi: https://doi.org/10.1016/s0022-5223(99)70474-5

Ngaage DL, Mullany CJ, Daly RC, Dearani JA, Edwards WD, Tazelaar HD, et al. Surgical Treatment of Cardiac Papillary Fibroelastoma: A Single Center Experience With Eighty-Eight Patients. Annals of Thoracic Surgery. 2005;80 (5):1712-8. doi: https://doi.org/10.1016/j.athoracsur.2005.04.030

Yee HC, Nwosu JE, Lii AD, Velasco M, Millman A. Echocardographic Features of Papillary Fibroelastoma and Their Consequences and Management. American Journal of Cardiology 1997;80(6):811-4. doi: https://doi.org/10.1016/s0002-9149(97)00527-4

Published

2021-04-30

How to Cite

1.
Pereiro Lili I, García Ibarrondo N, Manzanal Rey A, Codina Prat M, Ruiz Gómez L. Fibroelastoma in the chordae tendineae of the mitral valve as a cause of embolic stroke. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 2021 Apr. 30 [cited 2024 Nov. 24];4(1):26-9. Available from: https://imagenretic.org/RevEcocarPract/article/view/341

Most read articles by the same author(s)