Recurrent transient ischemic stroke in a young patient with papillary fibroelastoma of the mitral valve and hyperhomocysteinemia. A case report

We describe a case of a young patient admitted for recurrent ischemic stroke caused by a papillary fibroelastoma of the mitral valve and a hyperhomocysteinemia. A papillary fibroelastoma is a benign cardiac tumor which can be associated with serious embolic complications. A moderate plasma level of...

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Bibliographic Details
Published inAnnales de cardiologie et d'angeiologie Vol. 58; no. 1; pp. 57 - 60
Main Authors Vinsonneau, U, Blanchard, C, Brondex, A, Castellant, P, Cornily, J-C, Etienne, Y, Godon, P, Quiniou, G
Format Journal Article
LanguageFrench
Published France Elsevier Masson 01.02.2009
Subjects
Cardiac Surgical Procedures
Echocardiography, Transesophageal
Endocardial Fibroelastosis
Endocardial Fibroelastosis - complications
Endocardial Fibroelastosis - diagnostic imaging
Endocardial Fibroelastosis - surgery
Female
Heart Neoplasms
Heart Neoplasms - complications
Heart Neoplasms - diagnostic imaging
Heart Neoplasms - surgery
Human health and pathology
Humans
Hyperhomocysteinemia
Hyperhomocysteinemia - complications
Hyperhomocysteinemia - diagnostic imaging
Hyperhomocysteinemia - surgery
Ischemic Attack, Transient
Ischemic Attack, Transient - diagnostic imaging
Ischemic Attack, Transient - etiology
Ischemic Attack, Transient - surgery
Life Sciences
Middle Aged
Mitral Valve
Mitral Valve - diagnostic imaging
Mitral Valve - surgery
Papillary Muscles
Papillary Muscles - diagnostic imaging
Papillary Muscles - surgery
Recurrence
Tissues and Organs
Treatment Outcome
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Summary:We describe a case of a young patient admitted for recurrent ischemic stroke caused by a papillary fibroelastoma of the mitral valve and a hyperhomocysteinemia. A papillary fibroelastoma is a benign cardiac tumor which can be associated with serious embolic complications. A moderate plasma level of hyperhomocysteinemia is considered as a risk factor of ischemic stroke. The authors suggest that this association increases the risk of ischemic stroke in their patient. The tumor was surgically removed to avoid new embolic events associated with a vitamin B supplementation. After surgery and acid folic supplementation, no recurrence was observed.
ISSN:0003-3928
1768-3181
DOI:10.1016/j.ancard.2008.05.008