We present the case of a 72-year-old female with multifocal strokes found to have multiple, mobile intracardiac masses. We discuss the differential diagnosis and evaluation of intracardiac masses, and the challenges in management of the ultimately diagnosed etiology of stroke in this patient.
FisherCM. Lacures: small, deep cerebral infarcts. Neurology. 1965;15:774-784.
2.
JungDKDevuystGMaederPBogousslavskyJ. Atrial fibrillation with small subcortical infarcts. J Neurol Neurosurg Psychiatry. 2001;70(3):344-349.
3.
BernatchezJGaudreaultVVincentG, et al.Left atrial myxoma presenting as an embolic shower: a case report and review of literature. Ann Vasc Surg. 2018;53:266.e13-266.e20.
4.
SorourAAKurmannRDEl-AmEA, et al.Recurrence of pathologically proven papillary fibroelastoma. Ann Thorac Surg. 2021;S0003-4975(21):00862-00866.
MotwaniMKidambiAHerzogBAUddinAGreenwoodJPPleinS. MR imaging of cardiac tumors and masses: a review of methods and clinical applications. Radiology. 2013;268(1):26-43.
10.
KlarichKWEnriquez-SaranoMGuraGMEdwardsWDTajikAJSewardJB. Papillary fibroelastoma: echocardiographic characteristics for diagnosis and pathologic correlation. J Am Coll Cardiol. 1997;30:784- 790.
11.
SunJPAsherCRYangXS, et al.Clinical and echocardiographic characteristics of papillary fibroelastomas: a retrospective and prospective study in 162 patients. Circulation. 2001;103:2687-2693.
12.
KondamareddyDKerndtCCMasoodW. Lambls excrescences. [Updated 2021 Nov 26]. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing; 2022.
13.
TaminSSMaleszewskiJJScottCG, et al.Prognostic and Bioepidemiologic Implications of Papillary Fibroelastomas. J Am Coll Cardiol. 2015;65:2420-2429.
14.
MeschiaJFBushnellCBoden-AlbalaB, et al.Guidelines for the primary prevention of stroke: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2014;45:3754-3832.
15.
DevanabandaARLeeLS. Papillary fibroelastoma. 2021 Aug 11. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing; 2022.