Abstract:
Fibroelastoma is a rare cardiac tumor that can cause embolization, stroke, myocardial infarction, heart failure, and cardiac arrest. Here, we report the case of a 45-year-old male who presented with right-sided weakness and fever. He was diagnosed with acute right frontal infarction and was found to have Streptococcus sanguinis bacteremia. Upon confirmation of a positive blood culture after 24 hours, treatment for endocarditis was initiated. Transesophageal echocardiography revealed findings highly suggestive of a papillary fibroelastoma (PFE). PFE ought to be regarded as a potential differential diagnosis in individuals who exhibit symptoms of fever, thromboembolism, and persistent bacteremia. Non-invasive imaging such as echocardiography is of great value in the diagnosis of PFE, while surgical resection remains the best treatment modality to overcome current and future associated complications.
摘要:
纤维弹性瘤是一种罕见的心脏肿瘤,可引起栓塞,中风,心肌梗塞,心力衰竭,还有心脏骤停.这里,我们报道了一例45岁男性出现右侧无力和发热的病例。他被诊断为急性右额叶梗塞,并被发现患有血链球菌菌血症。在24小时后确认血培养阳性后,开始治疗心内膜炎.经食管超声心动图显示,高度提示乳头状纤维弹性瘤(PFE)。PFE应被视为表现出发烧症状的个体的潜在鉴别诊断,血栓栓塞,和持续性菌血症.超声心动图等非侵入性影像学检查在诊断PFE中具有重要价值,而手术切除仍然是克服当前和未来相关并发症的最佳治疗方式。