Accidente cerebrovascular embólico secundario a fibroelastoma papilar de válvula mitral

Embolic stroke secondary to cardiac tumors is uncommon. However, 25-30% of cardiac tumors may cause systemic emboli. We report a 29-year-old male consulting for a sudden episode of aphasia and right hemiparesis, compatible with infarct of the left middle cerebral artery territory. Transthoracic echo...

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Autores principales:	González L.,Roberto, Reyes M.,Rodrigo, Riquelme U.,Alejandra, Seguel S.,Enrique, Stockins L.,Aleck, Jadue T.,Andrés, Alarcón C.,Emilio
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2019
Materias:	Cardiac Surgical Procedures Heart Neoplasms Heart Valve Disease Infarction, Middle Cerebral Artery
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000200243
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spelling	oai:scielo:S0034-988720190002002432019-04-29Accidente cerebrovascular embólico secundario a fibroelastoma papilar de válvula mitralGonzález L.,RobertoReyes M.,RodrigoRiquelme U.,AlejandraSeguel S.,EnriqueStockins L.,AleckJadue T.,AndrésAlarcón C.,Emilio Cardiac Surgical Procedures Heart Neoplasms Heart Valve Disease Infarction, Middle Cerebral Artery Embolic stroke secondary to cardiac tumors is uncommon. However, 25-30% of cardiac tumors may cause systemic emboli. We report a 29-year-old male consulting for a sudden episode of aphasia and right hemiparesis, compatible with infarct of the left middle cerebral artery territory. Transthoracic echocardiography reported an ovoid tumor of 8 × 7 × 7 mm in relation to the sub valvular apparatus of the mitral valve. After neurologic stabilization, surgical treatment was performed. Approached by median sternotomy and in cardiopulmonary bypass, the mitral valve was explored. A macroscopic tumor consistent with a papillary fibroelastoma curled in sub valvular chordae was found. It was deployed and resected from its base, while the anterior mitral leaflet was preserved intact. Histopathological examination confirmed the intraoperative macroscopic diagnosis. The patient recovered uneventfully postoperatively and was discharged on the fifth day after surgery. He currently is in functional capacity I without cardiovascular symptoms at five years follow-up.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.147 n.2 20192019-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000200243es10.4067/s0034-98872019000200243
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Cardiac Surgical Procedures Heart Neoplasms Heart Valve Disease Infarction, Middle Cerebral Artery
spellingShingle	Cardiac Surgical Procedures Heart Neoplasms Heart Valve Disease Infarction, Middle Cerebral Artery González L.,Roberto Reyes M.,Rodrigo Riquelme U.,Alejandra Seguel S.,Enrique Stockins L.,Aleck Jadue T.,Andrés Alarcón C.,Emilio Accidente cerebrovascular embólico secundario a fibroelastoma papilar de válvula mitral
description	Embolic stroke secondary to cardiac tumors is uncommon. However, 25-30% of cardiac tumors may cause systemic emboli. We report a 29-year-old male consulting for a sudden episode of aphasia and right hemiparesis, compatible with infarct of the left middle cerebral artery territory. Transthoracic echocardiography reported an ovoid tumor of 8 × 7 × 7 mm in relation to the sub valvular apparatus of the mitral valve. After neurologic stabilization, surgical treatment was performed. Approached by median sternotomy and in cardiopulmonary bypass, the mitral valve was explored. A macroscopic tumor consistent with a papillary fibroelastoma curled in sub valvular chordae was found. It was deployed and resected from its base, while the anterior mitral leaflet was preserved intact. Histopathological examination confirmed the intraoperative macroscopic diagnosis. The patient recovered uneventfully postoperatively and was discharged on the fifth day after surgery. He currently is in functional capacity I without cardiovascular symptoms at five years follow-up.
author	González L.,Roberto Reyes M.,Rodrigo Riquelme U.,Alejandra Seguel S.,Enrique Stockins L.,Aleck Jadue T.,Andrés Alarcón C.,Emilio
author_facet	González L.,Roberto Reyes M.,Rodrigo Riquelme U.,Alejandra Seguel S.,Enrique Stockins L.,Aleck Jadue T.,Andrés Alarcón C.,Emilio
author_sort	González L.,Roberto
title	Accidente cerebrovascular embólico secundario a fibroelastoma papilar de válvula mitral
title_short	Accidente cerebrovascular embólico secundario a fibroelastoma papilar de válvula mitral
title_full	Accidente cerebrovascular embólico secundario a fibroelastoma papilar de válvula mitral
title_fullStr	Accidente cerebrovascular embólico secundario a fibroelastoma papilar de válvula mitral
title_full_unstemmed	Accidente cerebrovascular embólico secundario a fibroelastoma papilar de válvula mitral
title_sort	accidente cerebrovascular embólico secundario a fibroelastoma papilar de válvula mitral
publisher	Sociedad Médica de Santiago
publishDate	2019
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000200243
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Accidente cerebrovascular embólico secundario a fibroelastoma papilar de válvula mitral

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