Repozitorij Medicinskog fakulteta Sveučilišta u Zagrebu

Cardiac papillary fibroelastoma: source of cerebral embolism treated with intravenous thrombolysis

Matijević, Vesna and Poljaković, Zdravka and Ilić, Ivana and Čikeš, Ivo and Habek, Mario (2010) Cardiac papillary fibroelastoma: source of cerebral embolism treated with intravenous thrombolysis. Journal of Stroke and Cerebrovascular Diseases, [Epub . ISSN 1052-3057

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    English abstract

    We present the case of a 41-year-old man with sudden development of left hemiparesis due to infarction of the right middle cerebral artery that was successfully treated with intravenous (IV) thrombolysis with alteplase. Transthoracic echocardiography showed a small mass in the left ventricle. The patient underwent surgical resection, and histological examination of the mass confirmed the diagnosis of papillary fibroelastoma. It remains to be investigated whether heart ultrasound evaluation should be performed before IV thrombolysis in selected patients with stroke, given the apparently increased risk of bleeding. However, IV thrombolysis should not be postponed due to a lengthy investigation, because of its potential for reducing morbidity in patients with stroke.

    Item Type: Article
    Divisions: Katedra za neurologiju
    Depositing User: Marijan Šember
    Status: Published
    Creators:
    CreatorsEmail
    Matijević, Vesna
    Poljaković, Zdravka
    Ilić, Ivana
    Čikeš, Ivo
    Habek, Mario
    Date: 06 August 2010
    Date Deposited: 17 Nov 2010
    Last Modified: 23 Sep 2011 18:11
    Subjects: /
    Related URLs:
      URI: http://medlib.mef.hr/id/eprint/878

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