%0 Journal Article
%T Fibroelastoma valvular a車rtico como causa de accidente cerebrovascular emb車lico: Reporte de un caso Aortic valve fibroelastoma as a cause of an embolic cerebrovascular accident: A case report
%A JUAN CARLOS BAHAMONDES S
%A GUSTAVO MERIˋO S
%A JUAN SALMAN A
%A ABELARDO SILVA V
%J Revista Chilena de Cirug赤a
%D 2008
%I Sociedad de Cirujanos de Chile
%X Los tumores card赤acos son una causa rara de accidente cerebrovascular emb車lico. Comunicamos el caso de una paciente de 65 a os quien debuta su historia con un accidente cerebrovascular. El estudio de fuente emb車lica con ecocardiograf赤a transesof芍gica demostr車 un fibroelastoma de la v芍lvula a車rtica en el borde libre del velo no coronariano. El tumor fue extra赤do mediante circulaci車n extracorp車rea. El estudio anatomopatol車gico confirm車 el diagn車stico y la paciente se encuentra en capacidad funcional I y sin s赤ntomas neurol車gicos a 19 meses de seguimiento. Background: Cardiac tumors are an infrequent cause of an embolic source and aortic fibroelastoma is even more rare as causative of a stroke. We report a 65 year o赤d female with no particular clinical history admitted to the hospital with an embolic cerebrovascular accident whose embolic source study with a transesophageal echocardiogram revealed a fibroelastoma in the free edge of the non coronar赤an leaflet of the aortic valve. The patient was subjected to surgery by means of extracorporeal circulation and the tumor was excised. The pathological study confirmed the diagnosis. Post operative recovery was uneventful with no neurological damage and after 19 months of follow up she is in functional class I.
%K Procedimientos quir迆rgicos card赤acos
%K v芍lvulas card赤acas
%K v芍lvula a車rtica
%K tumores card赤acos
%K Cardiac surgical procedures (MeSH)
%K Heart valves (MeSH)
%K Aortic valve (MeSH)
%K Cardiac tumors (MeSH)
%U http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-40262008000500015