The importance of early completion of cardiac investigations after ischaemic stroke: a case and systematic review of reperfusion therapy in stroke due to cardiac fibroelastoma

摘要

We describe a rare case of a 69-year-old woman presenting with sudden onset right-sided weakness, sensory disturbance and dysarthria due to a left-middle cerebral artery territory stroke. The patient was successfully thrombolysed, but shortly developed a recurrent stroke in a different vascular territory. Transthoracic echocardiography showed a 2×1 cm mobile structure on the aortic valve. This was resected and histology identified a fibroelastoma. This case highlights the importance of early completion of cardiac investigations in stroke patients, and that a known cardiac papillary fibroelastoma (CPF) should not be considered a contraindication to thrombolysis or thrombectomy.