Stroke and Cardiac Papillary Fibroelastoma: Mechanical Thrombectomy after Thrombolytic Therapy

被引：11

作者：

Santos, Ana F. ^{[1
]}

Pinho, Joao ^{[1
]}

Ramos, Vitor ^{[2
]}

Pardal, Joana ^{[3
]}

Rocha, Jaime ^{[4
]}

Ferreira, Carla ^{[1
]}

机构：

[1] Hosp Braga, Dept Neurol, P-4710243 Braga, Portugal

[2] Hosp Braga, Dept Cardiol, P-4710243 Braga, Portugal

[3] Hosp Sao Joao, Dept Pathol Anat, Oporto, Portugal

[4] Hosp Braga, Dept Neuroradiol, P-4710243 Braga, Portugal

来源：

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES | 2014年 / 23卷 / 05期

关键词：

Cardiac papillary fibroelastoma; stroke; thrombolytic therapy; mechanical thrombectomy;

D O I：

10.1016/j.jstrokecerebrovasdis.2013.09.018

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

We describe a case of a 34-year-old man with a sudden development of right hemiparesis and aphasia because of infarction of the left middle cerebral artery that was submitted to intravenous (IV) recombinant tissue plasminogen activator and mechanical thrombectomy. Transesophageal echocardiogram showed a small mass on the anterior leaflet of the mitral valve. Cardiac surgery was performed, and histological examination of the removed material was consistent with cardiac papillary fibroelastoma (CPF). Experience in using IV thrombolysis for the treatment of embolic stroke because of CPF is limited. To the best of our knowledge, only 3 patients are reported in literature in whom acute ischemic stroke and associated CPF were treated with thrombolytic therapy. A discussion of the efficacy of IV thrombolysis and the possible superiority of mechanical thrombectomy is included.(c) 2014 by National Stroke Association

引用

页码：1262 / 1264

页数：3

共 5 条

[1] Cardiac papillary fibroelastoma: A comprehensive analysis of 725 cases [J].