Journal
CARDIOVASCULAR PATHOLOGY
Volume 40, Issue -, Pages 65-67Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.carpath.2019.01.007
Keywords
Cardiac papillary fibroelastoma; Embolic stroke; Older adults; Atrium; Transesophageal echocardiography
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Cardiac papillary fibroelastoma is a rare but increasingly recognized cause of embolic stroke that is prevalent in the older population and requires prompt surgical management. We report an unusual case of left atrial appendage cardiac fibroelastoma in a 76-year-old gentleman who presented with left internuclear ophthalmoplegia and ataxia, with corresponding diffusion-weighted imaging on magnetic resonance imaging of the brain. This case illustrates the importance of echocardiographic imaging in the workup of cardioembolic stroke in the older adult population in the acute setting. Crown Copyright (C) 2019 Published by Elsevier Inc. All rights reserved.
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