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 in:Annales de cardiologie et d'angéiologie 2009-02, Vol.58 (1), p.57-60
Main Authors: Vinsonneau, U., Blanchard, C., Brondex, A., Castellant, P., Cornily, J.-C., Etienne, Y., Godon, P., Quiniou, G.
Format: Article
Language:fre
Subjects:
Cardiac Surgical Procedures
Echocardiography, Transesophageal
Endocardial Fibroelastosis
Female
Heart Neoplasms
Human health and pathology
Humans
Hyperhomocysteinemia
Ischemic Attack, Transient
Life Sciences
Middle Aged
Mitral Valve
Papillary Muscles
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