Un cas rare de fibroélastome papillaire révélé par un accident vasculaire cérébral ischémique (à propos d'un cas)

Abstract

BackgroundPapillary fibroelastoma is a rare benign cardiac tumor, but capable of causing severe ischemic manifestations and exposing the patient to embolic complications and sudden death which requires urgent surgical resection. Case presentationWe report the case of a 34-year-old man presenting with ischemic stroke. Cardiac ultrasonography revealed a pedunculated tumor inserted on the basal interventricular septum, mobile in the LV hunting chamber in the vicinity of the large mitral valve. Surgical excision was performed without any operative or post-operative difficulties. Histological examination confirmed the diagnosis of papillary fibroelastoma. The clinical course was favorable, with no ischemic recurrence. ConclusionWe recall through this observation the high emboligenic potential of this tumor, whose surgical treatment prevents cerebral embolic recurrence.