Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Mitral papillary fibroelastoma as a cause of cardiogenic embolic stroke: report of two cases and review of the literature
Autore:
Sastre-Garriga, J; Molina, C; Montaner, J; Mauleon, A; Pujadas, F; Codina, A; Alvarez-Sabin, J;
Indirizzi:
Hosp Gen Valle Hebron, Unit Cerebrovasc, Serv Neurol, Barcelona 08035, Spain Hosp Gen Valle Hebron Barcelona Spain 08035 urol, Barcelona 08035, Spain
Titolo Testata:
EUROPEAN JOURNAL OF NEUROLOGY
fascicolo: 4, volume: 7, anno: 2000,
pagine: 449 - 453
SICI:
1351-5101(200007)7:4<449:MPFAAC>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRANSESOPHAGEAL ECHOCARDIOGRAPHY; RARE CAUSE; ISCHEMIC STROKE; VALVE; DIAGNOSIS; EVENTS; YOUNG;
Keywords:
cerebral embolism and thrombosis; echocardiography; heart neoplasms; transoesophageal;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
33
Recensione:
Indirizzi per estratti:
Indirizzo: Sastre-Garriga, J Hosp Gen Valle Hebron, Unit Cerebrovasc, Serv Neurol, Passeig Vall Hebron 119-129, Barcelona 08035, Spain Hosp Gen Valle Hebron Passeig Vall Hebron 119-129 Barcelona Spain 08035
Citazione:
J. Sastre-Garriga et al., "Mitral papillary fibroelastoma as a cause of cardiogenic embolic stroke: report of two cases and review of the literature", EUR J NEUR, 7(4), 2000, pp. 449-453

Abstract

Papillary fibroelastoma (PFE) is a rare benign tumour that attaches to theendocardial surface, mostly on cardiac valves. Though usually asymptomatic, it can be the source of several complications. To date, 49 cases have been reported of embolic stroke with a PFE as the probable origin. Case reports: (i) a 39-year-old male presented with ischemic embolic stroke; the presence of a PFE was assessed by means of transoesophageal echocardiography andconfirmed by pathological findings; (ii) a 32-year-old woman presented with sudden onset of left hemiparesis; a cardiogenic embolic stroke was suspected, and a diagnosis of PFE was made based on echocardiographic and pathological findings. In both cases, surgical excision of the tumours was performed with no recurrences at follow-up. Two mechanisms can explain the formation of emboli in PFE: dislodgement of the tumour leaves or fibrin-platelet aggregation on the endocardial surface of these leaves. Transthoracic echocardiography may lead to the suspicion of a PFE, but transoesophageal echocardiography is required for confirmation. Prompt surgical excision is indicated in most cases. Anticoagulation is only recommended in situations of highsurgical risk and during the wait for surgery.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/04/20 alle ore 11:48:07