Unusually located left atrial papillary fibroelastoma with probable embolization to the spinal cord

This report presents a patient with flaccid paraplegia, most probably secon dary to embolization from a left atrial papillary fibroelastoma. The unique location of the tumor, attached to the ridge in the left atrium between th e left atrial appendage and pulmonary vein, was well documented on transeso phageal echocardiography, and the diagnosis was confirmed by histopathology . Although benign, these tumors may develop in all four cardiac chambers an d result in pulmonary or systemic embolization. Paraplegia is a rare emboli c complication.