Fibroelastoma papilífero de valva cardíaca associado a eventos cerebrais cardioembólicos

Albuquerque, Luciano Cabral; Trindade, Vanessa Devens

doi:10.5935/1678-9741.20110062

Cited by 6 publications

(2 citation statements)

References 12 publications

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“…Moreover, PFE can develop at any location of the endocardium; however, 84% of PFE lesions are valvular, (most commonly developing in the aortic valve, followed by the mitral valve) [3]. In some cases [4, 5], PFE was discovered after the occurrence of thrombosis such as cerebral or myocardial infarction. In others [6, 7], PFE was observed incidentally during surgery or autopsy.…”

Section: Discussionmentioning

confidence: 99%

Aortic Valve Papillary Fibroelastoma Associated with Acute Cerebral Infarction: A Case Report

Takeuchi

Takada

Fujita

et al. 2013

Case Reports in Cardiology

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An 80-year-old woman with a history of congestive heart failure, atrial fibrillation, and hypertension was transferred to our institution with hematemesis. Her drug regimen included 2 mg warfarin potassium/day to prevent thromboembolic events. Transthoracic echocardiography (TTE) performed at 78 years of age revealed a mass attached to the noncoronary cusp and a cardiac tumor was suspected. The patient declined surgery and was meticulously followed up with periodic TTE. Upper gastroendoscopy revealed a gastric ulcer with an exposed blood vessel; anticoagulant therapy was ceased. On day 15 of admission, acute cerebral infarction occurred. Heparin sodium and warfarin potassium were administered rapidly, and her symptoms improved. TTE revealed no alteration of the mobile, string-like mass attached to the noncoronary cusp. Cardiac tumor was considered the cause of cerebral infarction, and the patient consented to surgical therapy. Pathological examination of the resected tumor suggested papillary fibroelastoma (PFE). Although no guidelines exist for PFE management, a mobile, cardiac tumor necessitates surgical resection to prevent thromboembolic events, even when small in size.

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Section: Discussionmentioning

confidence: 99%

Aortic Valve Papillary Fibroelastoma Associated with Acute Cerebral Infarction: A Case Report

Takeuchi

Takada

Fujita

et al. 2013

Case Reports in Cardiology

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“…As differential diagnosis infectious vegetations, endocarditis and fibroelastoma should be considered. Fibroelastoma, the most frequent valvular tumour, is broadly based and described as “sea anemone-like” due to the gelatinous papillary mass [ 4 ]. Unlike LE, fibroelastoma is thrombogenic if sized >1 cm and if embolic events occur; surgical removal is recommended [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Valvular Excrescences: A Possible Transient Phenomenon

Marstrand

Jensen

Ihlemann

2015

Case Reports in Cardiology

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The thrombogenic potential of Lambl excrescences (LE) is minimal unlike the benign tumour fibroelastoma wherefrom thrombi often originate. We present a patient with multiple strokes within a six-year period. A possible locus on the aortic valve was found and diagnosed as fibroelastoma. Before aortic valve substitution prior finding could not be visualized and surgery was aborted. Due to review of earlier Transesophageal Echocardiography (TEE) and the transient component, LE was accepted as the most plausible diagnosis. This illustrates the need for TEE just before surgery.

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