Background: Papillary fibroelastoma is uncommon in cardiovascular disease and is found incidentally during surgery or transesophageal echocardiography. Because it presents severe diverse clinical syndromes including acute stroke and chronic angina, timing of operation is an important issue. Case presentation: We report a case of 69-yearold man diagnosed with acute stroke presenting aphasia. Transesophageal echocardiography identified a flail tumor on the non-coronary cusp of aortic valves. Because he had no history of persisting fever, that was regarded as the cause of embolic stroke. The patient underwent simple resection of tumor with aortic valve repair to prevent from recurrence of embolism. Conclusion: Although papillary fibroelastomas does not induces acute stroke frequently, surgical intervention is necessary for preventing from recurrence of embolism. Transesophageal Echocardiography (TEE) is efficacious for differential diagnosis for cardiogenic stroke.
Ikuo Fukuda*, Zaiqiang Yu, Kazuyuki Daitoku, Wei Yang