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European Journal of Echocardiography 2007 8(6):489-491; doi:10.1016/j.euje.2006.07.012
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Copyright © 2007, The European Society of Cardiology

Papillary fibroelastoma of the aortic valve: A rare cause of stroke

Jeroen Walpota,*, W. Hans Pasteuninga, Jan Koemanb and Peter Volkerb

aDepartment of Cardiology, Ziekenhuis Walcheren, Vlissingen, The Netherlands
bDepartment of Neurology, Ziekenhuis Walcheren, Vlissingen, The Netherlands

Received 9 June 2006; received in revised form 13 July 2006; accepted after revision 26 July 2006.

* Corresponding author. Department of Cardiology, Ziekenhuis Walcheren, Koudekerkseweg 88, Postbus 3200, 4380 DD Vlissingen, The Netherlands. Tel.: +31 118 425000; fax: +31 118 425331. walpot{at}zwv.nl


  Abstract

We report a case of a 59-year-old woman with recurrent cerebrovascular insults caused by a papillary fibroelastoma of the aortic valve. Primary cardiac tumors are rare. Papillary fibroelastoma (PFE) is the most common valvular tumor and the second cardiac benign tumor after myxoma. The clinical presentation of PFE varies from asymptomatic to severe embolic complications. The tumor was surgically removed to avoid new embolic events.

Keywords: Papillary fibroelastoma; Cardiac tumor; Stroke; Transesophageal echocardiography


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