Abstract

Fibroelastoma is a rare cardiac tumor that can cause embolization, stroke, myocardial infarction, heart failure, and cardiac arrest.Here, we report the case of a 45-year-old male who presented with right-sided weakness and fever. He was diagnosed with acute right frontal infarction and was found to have Streptococcus sanguinis bacteremia. Upon confirmation of a positive blood culture after 24 hours, treatment for endocarditis was initiated. Transesophageal echocardiography revealed findings highly suggestive of a papillary fibroelastoma (PFE). PFE ought to be regarded as a potential differential diagnosis in individuals who exhibit symptoms of fever, thromboembolism, and persistent bacteremia. Non-invasive imaging such as echocardiography is of great value in the diagnosis of PFE, while surgical resection remains the best treatment modality to overcome current and future associated complications.

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Keywords

papillary fibroelastoma, Streptococcus sanguinis, thromboembolic events

References
1. Devanabanda AR, Lee LS. Papillary Fibroelastoma. 2023 Apr 26. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. PMID: 31751019.
2. Zoltowska DM, Sadic E, Becoats K, et al. Cardiac papillary fibroelastoma. J Geriatr Cardiol. 2021 May 28;18(5):346-351. doi: 10.11909/j.issn.1671-5411.2021.05.009. PMID: 34149823; PMCID: PMC8185441.
3. Sun JP, Asher CR, Yang XS, et al. Clinical and echocardiographic characteristics of papillary fibroelastomas: a retrospective and prospective study in 162 patients. Circulation. 2001 Jun 5;103(22):2687-93. doi: 10.1161/01.cir.103.22.2687. PMID: 11390338.
4. Ahmed R, Moaddab A, Graham-Hill S. A Case of Papillary Fibroelastoma of the Aortic Valve Causing an Embolic Ischemic Stroke. Cureus. 2022 Aug 20;14(8):e28208. doi: 10.7759/cureus.28208. PMID: 36158373; PMCID: PMC9484706.
5. Klarich KW, Enriquez-Sarano M, Gura GM, et al. Papillary fibroelastoma: echocardiographic characteristics for diagnosis and pathologic correlation. J Am Coll Cardiol. 1997 Sep;30(3):784-90. doi: 10.1016/s0735-1097(97)00211-8. PMID: 9283541.
6. Almagro UA, Perry LS, Choi H, Pintar K. Papillary fibroelastoma of the heart. Report of six cases. Arch Pathol Lab Med. 1982 Jul;106(7):318-21. PMID: 6896442.
7. Roberts WC. Papillary fibroelastomas of the heart. Am J Cardiol. 1997 Oct 1;80(7):973-5. doi: 10.1016/s0002-9149(97)00586-9. PMID: 9382025.
8. Miller A, Perez A, Pabba S, Shetty V. Aortic valve papillary fibroelastoma causing embolic strokes: a case report and review. Int Med Case Rep J. 2017 Mar 29;10:109-112. doi: 10.2147/IMCRJ.S119353. PMID: 28435328; PMCID: PMC5386611.
9. Kalman JM, Lubicz S, Brennan JB, Vernon-Roberts E, Calafiore P. Multiple cardiac papillary fibroelastomas and rheumatic heart disease. Aust N Z J Med. 1991 Oct;21(5):744-6. doi: 10.1111/j.1445-5994.1991.tb01382.x. PMID: 1759925.
10. Koji T, Fujioka M, Imai H, et al. Infected papillary fibroelastoma attached to the atrial septum. Circ J. 2002 Mar;66(3):305-7. doi: 10.1253/circj.66.305. PMID: 11922284.
11. Latif F, Peyton M, Laszik Z, Sivaram CA. Infective endocarditis of a papillary fibroelastoma on Chiari network of right atrium: a case report. J Am Soc Echocardiogr. 2008 Feb;21(2):188.e3-4. doi: 10.1016/j.echo.2007.08.033. PMID: 17928193.
How to Cite
Ahmad, S., & Alsaeed, M. (2024). Papillary fibroelastoma complicated by Streptococcus sanguinis bacteremia: a rare case of cardiac tumor with embolic events. Archive of Clinical Cases, 11(1), 13-15. https://doi.org/10.22551/2024.42.1101.10279
Section
Case Reports

How to Cite

Ahmad, S., & Alsaeed, M. (2024). Papillary fibroelastoma complicated by Streptococcus sanguinis bacteremia: a rare case of cardiac tumor with embolic events. Archive of Clinical Cases, 11(1), 13-15. https://doi.org/10.22551/2024.42.1101.10279