Aortic Valve Papillary Fibroelastoma Associated with Acute Cerebral Infarction: A Case Report
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 yea...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2013/485029 |
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| author | Nobuhiro Takeuchi Masanori Takada Koichi Fujita Yoshiharu Nishibori Takao Maruyama Kazuyoshi Naba |
| author_facet | Nobuhiro Takeuchi Masanori Takada Koichi Fujita Yoshiharu Nishibori Takao Maruyama Kazuyoshi Naba |
| author_sort | Nobuhiro Takeuchi |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-cf80e146de9c4a1aa654d6f423ac2924 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-cf80e146de9c4a1aa654d6f423ac29242025-02-03T06:06:18ZengWileyCase Reports in Cardiology2090-64042090-64122013-01-01201310.1155/2013/485029485029Aortic Valve Papillary Fibroelastoma Associated with Acute Cerebral Infarction: A Case ReportNobuhiro Takeuchi0Masanori Takada1Koichi Fujita2Yoshiharu Nishibori3Takao Maruyama4Kazuyoshi Naba5Department of Cardiology, Kawasaki Hospital, Kobe, JapanDepartment of Cardiology, Kawasaki Hospital, Kobe, JapanDepartment of Cardiology, Kawasaki Hospital, Kobe, JapanDepartment of Cardiology, Kawasaki Hospital, Kobe, JapanDepartment of Cardiology, Kawasaki Hospital, Kobe, JapanDepartment of Laboratory Medicine, Kawasaki Hospital, Kobe, JapanAn 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.http://dx.doi.org/10.1155/2013/485029 |
| spellingShingle | Nobuhiro Takeuchi Masanori Takada Koichi Fujita Yoshiharu Nishibori Takao Maruyama Kazuyoshi Naba Aortic Valve Papillary Fibroelastoma Associated with Acute Cerebral Infarction: A Case Report Case Reports in Cardiology |
| title | Aortic Valve Papillary Fibroelastoma Associated with Acute Cerebral Infarction: A Case Report |
| title_full | Aortic Valve Papillary Fibroelastoma Associated with Acute Cerebral Infarction: A Case Report |
| title_fullStr | Aortic Valve Papillary Fibroelastoma Associated with Acute Cerebral Infarction: A Case Report |
| title_full_unstemmed | Aortic Valve Papillary Fibroelastoma Associated with Acute Cerebral Infarction: A Case Report |
| title_short | Aortic Valve Papillary Fibroelastoma Associated with Acute Cerebral Infarction: A Case Report |
| title_sort | aortic valve papillary fibroelastoma associated with acute cerebral infarction a case report |
| url | http://dx.doi.org/10.1155/2013/485029 |
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