Abstract
BackgroundPapillary fibroelastomas are rare, benign cardiac tumors that are often found on cardiac valvular surfaces. Most are incidental discoveries during surgery or autopsy. The clinical presentation of fibroelastoma varies widely, ranging from clinically asymptomatic to severe thromboembolic events.Case presentationWe report a case of 65-year-old white man diagnosed with scattered, bilateral acute cerebral hemisphere infarcts with a history of chronic angina. Transesophageal echocardiography identified a fibroelastoma on the right coronary cusp of the aortic leaflet. Cardiac catheterization revealed mild non-obstructive stenosis. We postulate that the etiology of his angina is related to the dynamic occlusion of his right coronary ostium by the fibroelastoma.ConclusionsTo the best of our knowledge, this is the first case report describing a patient with a cardiac papillary fibroelastoma who presented with both chronic angina and acute stroke.
Highlights
Papillary fibroelastomas are rare, benign cardiac tumors that are often found on cardiac valvular surfaces
To the best of our knowledge, this is the first case report describing a patient with a cardiac papillary fibroelastoma who presented with both chronic angina and acute stroke
We describe a rare case of a 65-year-old man, with a history of chronic angina, who presented with an acute stroke and was incidentally found to have a Papillary fibroelastoma (PFE) on the right coronary cusp of the aortic leaflet
Summary
We report a rare case of a PFE located on the right coronary cusp that is associated with both a CVA as well as chronic angina.
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