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ISSN : 1225-0082(Print)
ISSN : 2288-1905(Online)
The Medical Journal of Chosun University Vol.38 No.1 pp.23-26

Embolic Stroke Caused by a Papillary Fibroelastoma on the Mitral Valve

Si Wan Choi1,*, Jae Ho Park1, Ye Jin Kim1, Hyeon seok Lee1, Jae-Hyeong Park1, Myung Hoon Na2, Choong Sik Lee3

1Division of Cardiology, Department of Internal Medicine, 2Department of Thoracic and Cardiovascular Surgery,
3Department of Pathology, College of Medicine, Chungnam National University Hospital, Daejeon, Republic of Korea
(Received January 15, 2012; Accepted March 15, 2013)


Cerebral infarction is one of the leading causes of death worldwide and the most common cause of death from a singlediseasein South Korea. Each year, 795,000 people in the U.S. experience a new or recurrent stroke. Approximately 15-30%of cerebral infarctions are of embolic origin related to cardiac abnormalities. Because determination of the etiology of cerebralinfarction is crucial to acute management and future prevention, clinicians should pay attention to finding the cardiacsource of embolism in patients with cerebral infarction. We report on a case of cerebral infarction by a small papillary fibroelastomaon the mitral valve. The patient was treated with open heart surgery and closure of the patent foramen ovale toprevent further embolic events.


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