• Ann Cardiol Angeiol (Paris) · Apr 2019

    Case Reports

    [Cardiac papillary fibroelastoma and stroke during pregnancy: Case report].

    • M Binhas, C Zakine, N Khelil, L Mekacher, E Wafo, J J Lebonhomme, and B Iung.
    • Service d'anesthésie, Grand hôpital de l'Est Francilien, site de Marne-la-Vallée, 2-4, rue de la Gondoire, 77600 Jossigny, France. Electronic address: mbinhashaxaire@ghef.fr.
    • Ann Cardiol Angeiol (Paris). 2019 Apr 1; 68 (2): 129-131.

    AbstractStroke occurring during pregnancy is linked to high mortality. Stroke may be directly related to pregnancy (e.g. eclampsia, cerebral venous thrombosis), but all the other causes of stroke are possible. Brain magnetic resonance imaging that is not contraindicated during pregnancy remains the reference in this context. We report the case of a woman with severe headache associated with visual disturbances, without hypertension or proteinuria at 32 weeks of pregnancy. MRI revealed multiple recent cerebral vascular accidents. An echocardiogram detected a papillary fibroelastoma of 5mm. Maternal fetal experts determined it safe to continue the pregnancy. Childbirth at 39 weeks was normal uneventful for the newborn and mother. In the postpartum, despite the theoretical operative indication to resect the small residual papillary fibroelastoma, the patient was followed expectantly because of the stable neuro-cardiologic state. A fibroelastoma can be revealed by a stroke during pregnancy. In the postpartum period, an expectant attitude can be reasonably chosen in case of small size of the fibroelastoma.Copyright © 2018 Elsevier Masson SAS. All rights reserved.

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