Aortic valve multiple papillary fibroelastoma complicated with a cerebrovascular accident. Report of one case

Tbe echocardiographic identification of cardiac tumors as cause of embolic episodes is infrequent, and the finding of multiple papillary fibroelastoma is even less common. We report a 70 years old female with a history of a r heumatic mitral valve lesion, subjected to a commissurotomy in 1970. She wa s admitted with a cerebrovascular accident and the transesophageal echocard iogram revealed the presence of a multiple papillary fibroelastoma in the a ortic valve. The patient was operated and the tumor excised, the pathologic al analysis confirmed the diagnosis. The patient was discharged in good con ditions and after 8 months of follow up, she has no neurological abnormalit y and is in functional class I (Rev Med Chile 2001; 129: 1056-60).