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Case report
Mechanical endovascular procedure for the treatment of acute ischemic stroke caused by total detachment of a papillary fibroelastoma
  1. Javier Tejada1,
  2. Alberto Galiana1,
  3. Óscar Balboa2,
  4. Belén Clavera1,
  5. Laura Redondo-Robles1,
  6. Nieves Alonso3,
  7. Víctor Magadán2
  1. 1Department of Neurology, Hospital de León, León, Spain
  2. 2Department of Radiology, Hospital de León, León, Spain
  3. 3Department of Pathology, Hospital de León, León, Spain
  1. Correspondence to Dr Javier Tejada, jtejada{at}saludcastillayleon.es

Abstract

Papillary fibroelastomas (PFEs) are rare cardiac tumors. Despite their benign nature, they are associated with a high risk of embolic complications including stroke. Endovascular treatment has been reported as a safe procedure in patients with myxoma, the most common type of primary cardiac tumor. A case of ischemic stroke due to embolization of a PFE successfully treated with a single pass of a retrievable stent is described. A 64-year-old patient with a right middle cerebral artery syndrome was treated with an intravenous and endovascular protocol as a revascularization procedure. Mechanical thrombectomy resulted in total recanalization with clinical improvement. Histological examination of the clot showed pathological features of a typical PFE. The endovascular treatment was safe and effective. With mechanical embolectomy it is possible to obtain and analyze pathological specimens, enabling the diagnosis of uncommon strokes.

  • Stroke
  • Thrombectomy
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