Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.23/519
Título: Stroke and Cardiac Papillary Fibroelastoma: Mechanical Thrombectomy after Thrombolytic Therapy
Autor: Santos, AF
Pinho, J
Ramos, V
Pardal, F
Rocha, J
Ferreira, C
Palavras-chave: Acidente Vascular Cerebral
Neoplasias do Coração
Terapêutica Trombolítica
Trombólise Mecânica
Data: 2013
Editora: Elsevier
Citação: J Stroke Cerebrovasc Dis. 2013 Oct 19. pii: S1052-3057(13)00392-3.
Resumo: We describe a case of a 34-year-old man with a sudden development of right hemiparesis and aphasia because of infarction of the left middle cerebral artery that was submitted to intravenous (IV) recombinant tissue plasminogen activator and mechanical thrombectomy. Transesophageal echocardiogram showed a small mass on the anterior leaflet of the mitral valve. Cardiac surgery was performed, and histological examination of the removed material was consistent with cardiac papillary fibroelastoma (CPF). Experience in using IV thrombolysis for the treatment of embolic stroke because of CPF is limited. To the best of our knowledge, only 3 patients are reported in literature in whom acute ischemic stroke and associated CPF were treated with thrombolytic therapy. A discussion of the efficacy of IV thrombolysis and the possible superiority of mechanical thrombectomy is included.
Peer review: yes
URI: http://hdl.handle.net/10400.23/519
Aparece nas colecções:HB - CAR - Artigos
HB - AN PAT - Artigos
HB - NEU - Artigos
HB - NRAD - Artigos

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