1. An Unusual Cause of Ischemic Stroke with Successful Thrombolysis.
- Author
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Corrado, Giovanni, Panisi, Paolo, Checcarelli, Nicoletta, and Ambrosiani, Luciana
- Abstract
A 63-year-old woman was admitted because of sudden ischemic hemyplegia promptly cleared up by intravenous (IV) recombinant tissue plasminogen activator. On subsequent 2-dimensional echocardiogram, we observed an extremely mobile homogeneous mass attached by a short stalk to ventricular insertion of anterolateral papillary muscle chordae tendineae. The mass was surgically removed. Gross anatomy showed a mass with a gelatinoids appearance formed on histology by a lining of hyperplastic endocardial cells covering a hypocellular stroma consistent with papillary fibroelastoma. Given the prompt clinical improvement with IV thrombolytic therapy, we postulate that cerebral artery occlusion was at least in part because of thrombotic material. [Copyright &y& Elsevier]
- Published
- 2013
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