Cardiac papillary fibroelastoma as a reason of transient ischemic attack for a young patient

Balcı, Ahmet; Kayacioglu, Ilyas; Vural, Ünsal; Alkan, Pinar; Ateş, Mehmet; Tuygun, Abdullah Kemal; Yekeler, İbrahim

doi:10.1016/j.ijcard.2007.04.082

Cited by 3 publications

(1 citation statement)

References 8 publications

(8 reference statements)

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“…Most fibroelastomas are benign and asymptomatic (usually found incidentally by echocardiography, with an incidence of 0.019%) [8]. That said, at times, depending on the location and/or dimensions of the tumor, their presence can be signalled by syncope [9–11] and, more rarely, by distal embolisation of the tumor causing transient ischemic attack, stroke, myocardial infarction, or sudden death [7, 8, 12, 13]. For these reasons, whenever such an intracardiac tumor is diagnosed, surgical treatment must be considered, even in asymptomatic cases: the operation is usually a simple excision [14], at times with leaflet repair [12].…”

Section: Discussionmentioning

confidence: 99%

Paroxysmal Sneezing at the Onset of Syncopes and Transient Ischemic Attack Revealing a Papillary Cardiac Fibroelastoma

Mathis

Lamy

Ciron

et al. 2014

Case Reports in Neurological Medicine

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Sneezing can at times be associated with neurological disorders. The “sneeze center” is localized in the lateral medulla. We report the case of a 50-year-old man who presented three episodes of sneezing, two of them followed by an episode of transient gait instability and dizziness and the third one followed by an episode of transient left hemiparesis due to fibroelastoma of the aortic cardiac valve. To the best of our knowledge, this is the first description of a transient ischemic attack due to cardiac papillary fibroelastoma and revealed by violent episodes of sneezing.

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Section: Discussionmentioning

confidence: 99%

Paroxysmal Sneezing at the Onset of Syncopes and Transient Ischemic Attack Revealing a Papillary Cardiac Fibroelastoma

Mathis

Lamy

Ciron

et al. 2014

Case Reports in Neurological Medicine

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Asymptomatic Mobile Cardiac Mass

Rohani

2023

Clinical Cases in Cardiology

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Papillary Fibroelastoma Found With Transesophageal Echocardiography After a Normal Transthoracic Echocardiography

Cook

Viswanath

D'Mello

2017

Semin Cardiothorac Vasc Anesth

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We present the case of a patient with transient ischemic attacks who was being investigated for multiple embolic strokes. Initial workup, including brain computed tomography, computed tomography angiography, and transthoracic echocardiography (TTE) were negative for a source until transesophageal echocardiography (TEE) found a mass in the left atrium. The TEE differentiated the mass as a rare cardiac papillary fibroelastoma on the left atrial free wall confirmed by postsurgical pathology. This case highlights the importance of TEE as a diagnostic tool for its ability to more accurately differentiate and characterize the tumor compared with TTE. This case underscores that a negative TTE does not equate to zero risk of the presence of a cardiac tumor. It is prudent for the clinician to be cognizant that it may be beneficial to perform a TEE even with a negative TTE workup.

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Cardiac papillary fibroelastoma as a reason of transient ischemic attack for a young patient

Cited by 3 publications

References 8 publications

Paroxysmal Sneezing at the Onset of Syncopes and Transient Ischemic Attack Revealing a Papillary Cardiac Fibroelastoma

Paroxysmal Sneezing at the Onset of Syncopes and Transient Ischemic Attack Revealing a Papillary Cardiac Fibroelastoma

Asymptomatic Mobile Cardiac Mass

Papillary Fibroelastoma Found With Transesophageal Echocardiography After a Normal Transthoracic Echocardiography

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