J Pediatr Intensive Care 2018; 07(01): 059-061
DOI: 10.1055/s-0037-1604018
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Rare Etiology of Acute Embolic Stroke in a 17-Year-Old Girl: Cardiac Papillary Fibroelastoma

Tanya Chadha
Department of Pediatrics, Wolfson Children's Hospital, Jacksonville, Florida, United States
Department of Pediatrics, University of Florida College of Medicine, Gainesville, Florida, United States
,
Susan Cooke
Department of Pediatrics, Wolfson Children's Hospital, Jacksonville, Florida, United States
Department of Pediatrics, University of Florida College of Medicine, Gainesville, Florida, United States
,
Michael S. Shillingford
Department of Pediatrics, Wolfson Children's Hospital, Jacksonville, Florida, United States
Department of Pediatrics, University of Florida College of Medicine, Gainesville, Florida, United States
,
Eric Ceithaml
Department of Pediatrics, Wolfson Children's Hospital, Jacksonville, Florida, United States
Department of Pediatrics, University of Florida College of Medicine, Gainesville, Florida, United States
› Author Affiliations
Further Information

Publication History

20 April 2017

28 May 2017

Publication Date:
19 July 2017 (eFirst)

Abstract

A cardiac papillary fibroelastoma is a benign, pedunculated tumor with strand-like projections arising from the endocardium. While often discovered incidentally, these tumors can embolize resulting in major neurologic events. There is a dearth of pediatric literature describing the necessity and optimal timing of surgical intervention for this rare primary cardiac tumor after a cerebrovascular event. We report an interesting case and the subsequent management dilemma in a teenage patient presenting with acute embolic strokes secondary to an aortic valve papillary fibroelastoma. Despite its rarity, a high index of suspicion should be maintained for such tumors in previously healthy children presenting with acute stroke.