Giant Left Ventricular Papillary Fibroelastoma Presented as Transient Ischemic Attack and Complicated by Post-Pericardiotomy Syndrome
| Autor: | Alaa Awad, Sarra Mohamed, Hafiz Hussein, Daire-Sean Gibbons, Sara Mohammed |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Neurology Cardiac Neoplasm tia Cardiology 030204 cardiovascular system & hematology cardiac imaging lv thrombus 03 medical and health sciences 0302 clinical medicine medicine Internal Medicine Stroke Cardiac imaging cardiac tumors post-pericardiotomy syndrome business.industry General Engineering Left ventricular thrombus medicine.disease medicine.anatomical_structure Papillary fibroelastoma Ventricle Radiology Differential diagnosis business 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Papillary fibroelastoma is a benign cardiac tumour that most commonly presents as an incidental finding on imaging but may present with an acute neurological event due to embolic phenomena. We report a 51-year-old female who presented with focal neurology of the right hand that lasted for 30 minutes. Her initial investigations including CT-brain were unremarkable, and given her low-risk profile for stroke she was discharged for routine outpatient workup of possible transient ischaemic attack. Transthoracic echo detected a large mobile mass attached to the left ventricular wall. This was mistakenly diagnosed as a left ventricular thrombus, for which she was commenced on warfarin. After three months on warfarin without reduction in the size of the mass, cardiac MRI was performed. The scan was repeated as the initial imaging failed to demonstrate the tumour. This was followed by positron emission tomography which suggested a benign mass of the left ventricle. The patient underwent surgical excision of the tumour and developed post-pericardiotomy syndrome. Histopathology confirmed papillary fibroelastoma. Though rare, cardiac neoplasm may remain a differential diagnosis for acute neurological presentations in non-classical patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|