Rare Etiology of Acute Embolic Stroke in a 17-Year-Old Girl: Cardiac Papillary Fibroelastoma
Autor: | Susan Cooke, Tanya Chadha, Michael S. Shillingford, Eric L. Ceithaml |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
Aortic valve
medicine.medical_specialty business.industry media_common.quotation_subject 030204 cardiovascular system & hematology Critical Care and Intensive Care Medicine medicine.disease Embolic stroke Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030228 respiratory system Papillary fibroelastoma Pediatrics Perinatology and Child Health Etiology cardiovascular system Medicine Girl business Stroke Cardiac Tumors Endocardium media_common |
Popis: | A cardiac papillary fibroelastoma is a benign, pedunculated tumor with strand-like projections arising from the endocardium. While often discovered incidentally, these tumors can embolize resulting in major neurologic events. There is a dearth of pediatric literature describing the necessity and optimal timing of surgical intervention for this rare primary cardiac tumor after a cerebrovascular event. We report an interesting case and the subsequent management dilemma in a teenage patient presenting with acute embolic strokes secondary to an aortic valve papillary fibroelastoma. Despite its rarity, a high index of suspicion should be maintained for such tumors in previously healthy children presenting with acute stroke. |
Databáze: | OpenAIRE |
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