A case of cerebral embolism due to papillary fibroelastoma in the coumadin ridge

Cardiac papillary fibroelastoma (CPF) is often of valvular origin, but rarely forms in coumadin ridge (CR) and may cause cerebral embolism. We present an unusual 79-year-old man with embolism caused by CPF CR. The patient presented right upper limb paresis was diagnosed left centrum ovale infarction. Atrial fibrillation severe stenosis the carotid artery were not found various examinations. Although transthoracic echocardiography showed no abnormalities, transesophageal (TEE) revealed a mobile string-like structure measuring approximately 11 mm at tip suspected thrombus attached to CR, anticoagulation therapy administered, however did disappear. Therefore, as cardiac tumor underwent excision surgical closure atrial appendage. confirmed be on histopathology. Warfarin continued, there recurrence or 4 months after surgery. should considered cryptogenic stroke, especially embolic stroke undetermined sources