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Eur J Cardiothorac Surg 2001;20:1249-1251
© 2001 Elsevier Science NL
Case report |
a Department of Cardiac Surgery, Namur General Hospital (Centre hospitalier régional de Namur), 185 avenue Albert 1°, 5000 Namur, Belgium
b Department of Cardiology, Namur General Hospital (Centre hospitalier régional de Namur), 185 avenue Albert 1°, 5000 Namur, Belgium
c Department of Neurology, Namur General Hospital (Centre hospitalier régional de Namur), 185 avenue Albert 1°, 5000 Namur, Belgium
d C.N.A.C. (Centre Namurois de Cardiologie et de Chirurgie Cardiaque), Namur, Belgium
Received 15 May 2001; received in revised form 22 August 2001; accepted 3 September 2001.
Corresponding author. Tel.: +32-8172-6943; fax: +32-8172-6913
e-mail: chicarnam{at}skynet.be
A 43-year-old woman presented with an ischemic stroke in the right middle cerebral artery territory. Cardiac echography disclosed a tumor of a primary chordae of the anterior leaflet of the mitral valve. After neurologic recovery, the patient was referred to surgery for excision of the tumor and plastic reconstruction using a chordal transfer technique. Histological examination of the tumor showed a typical papillary fibroelastoma. Papillary fibroelastoma is the third most frequent cardiac benign tumor. The high embolic potential of this tumor is in favor of an aggressive surgical attitude.
Key Words: Ischemic stroke Mitral valve chordae Fibroelastoma Mitral valve reconstructive surgery
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