An infrequent type of stroke with an unusual cause and successful therapy: basilar artery occlusion caused by a cardiac papillary fibroelastoma recanalized 12 hours after onset

Intern Med. 2013;52(2):277-9. doi: 10.2169/internalmedicine.52.8739. Epub 2013 Jan 15.


We herein report the case of a 32-year-old woman with sudden onset ataxia, limb dysmetria and somnolence. Emergency radiological findings showed bilateral cerebellar and thalamic infarctions as a result of a basilar artery occlusion. The patient was treated with intra-arterial (IA) and mechanical thrombolysis 12 hours after symptom onset and showed an excellent recovery. A diagnostic workup revealed a tumor mass on the mitral valve that was surgically removed, while a histological analysis confirmed a diagnosis of cardiac papillary fibroelastoma.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Heart Neoplasms / complications
  • Heart Neoplasms / diagnosis*
  • Heart Neoplasms / therapy
  • Humans
  • Infusions, Intra-Arterial
  • Stroke / diagnosis*
  • Stroke / etiology
  • Stroke / therapy
  • Thrombolytic Therapy* / adverse effects
  • Treatment Outcome
  • Vertebrobasilar Insufficiency / diagnosis*
  • Vertebrobasilar Insufficiency / etiology
  • Vertebrobasilar Insufficiency / therapy