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Stroke and Cardiac Papillary Fibroelastoma: Mechanical Thrombectomy after Thrombolytic Therapy

2013Journal article Open access
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dc.contributor.authorSantos, AF
dc.contributor.authorPinho, J
dc.contributor.authorRamos, V
dc.contributor.authorPardal, F
dc.contributor.authorRocha, J
dc.contributor.authorFerreira, C
dc.date.accessioned2013-10-25T09:49:38Z
dc.date.available2013-10-25T09:49:38Z
dc.date.issued2013
dc.description.abstractWe 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.por
dc.identifier.citationJ Stroke Cerebrovasc Dis. 2013 Oct 19. pii: S1052-3057(13)00392-3.por
dc.identifier.urihttp://hdl.handle.net/10400.23/519
dc.language.isoporpor
dc.peerreviewedyespor
dc.publisherElsevierpor
dc.subjectAcidente Vascular Cerebralpor
dc.subjectFibromapor
dc.subjectNeoplasias do Coraçãopor
dc.subjectTerapêutica Trombolíticapor
dc.subjectTrombólise Mecânicapor
dc.titleStroke and Cardiac Papillary Fibroelastoma: Mechanical Thrombectomy after Thrombolytic Therapypor
dc.typejournal article
dspace.entity.typePublication
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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