Mechanical endovascular procedure for the treatment of acute ischemic stroke caused by total detachment of a papillary fibroelastoma. (2nd September 2013)

• Record Type: Journal Article
• Authors: Tejada, Javier; Galiana, Alberto; Balboa, Óscar; Clavera, Belén; Redondo-Robles, Laura; Alonso, Nieves; Magadán, Víctor
• Is Part Of: BMJ case reports. Volume 2013
• Publication Date: 2013-09-02
• Subjects: Stroke -- Thrombectomy; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2013-010800
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Papillary fibroelastomas (PFEs) are rare cardiac tumors. Despite their benign nature, they are associated with a high risk of embolic complications including stroke. Endovascular treatment has been reported as a safe procedure in patients with myxoma, the most common type of primary cardiac tumor. A case of ischemic stroke due to embolization of a PFE successfully treated with a single pass of a retrievable stent is described. A 64-year-old patient with a right middle cerebral artery syndrome was treated with an intravenous and endovascular protocol as a revascularization procedure. Mechanical thrombectomy resulted in total recanalization with clinical improvement. Histological examination of the clot showed pathological features of a typical PFE. The endovascular treatment was safe and effective. With mechanical embolectomy it is possible to obtain and analyze pathological specimens, enabling the diagnosis of uncommon strokes.