case_images: PMC5385231_01
case_images: Axial images of diffusion-weighted MRI of the brain with contrast showing hyperintensity in the temporal and occipital lobes.
case_images: CRIC2017-8185601.001.jpg
case_images: PMC5385231_01_CRIC2017-8185601.001.jpg
case_images: fig1
case_images: MRI of the brain with contrast showed abnormal signal in the right parietal lobe and other areas of small bright signals in the temporal lobe, occipital white matter, and right cerebellum consistent with multiple subacute infarcts (Figure 1).
case_images: Transesophageal echocardiogram (TEE) image showing a pedunculated mass on the atrial aspect of the posterior leaflet of the mitral valve before surgical resection of the CPFE.
case_images: CRIC2017-8185601.002.jpg
case_images: PMC5385231_01_CRIC2017-8185601.002.jpg
case_images: fig2
case_images: Transesophageal echocardiogram showed an 8 x 5 mm pedunculated mass on the atrial aspect of the posterior leaflet of the mitral valve (Figure 2), suggesting either a cardiac tumor or a vegetation of infectious or noninfectious etiology.
case_images: Surgical resection of the cardiac mass.
case_images: CRIC2017-8185601.003.jpg
case_images: PMC5385231_01_CRIC2017-8185601.003.jpg
case_images: fig3
case_images: The patient was evaluated by cardiothoracic surgery and the lesion was resected three weeks later (Figure 3).
case_images: Transesophageal echocardiogram (TEE) image showing a preserved mitral valve after surgery resection of the CPFE.
case_images: CRIC2017-8185601.004.jpg
case_images: PMC5385231_01_CRIC2017-8185601.004.jpg
case_images: fig4
case_images: Repeat TEE demonstrated the complete removal of the pedunculated mass (Figure 4).
case_images: (a) H&E 40x reveals multiple papillary structures lined by endothelial cells; (b) H&E 100x reveals the papillary structures are avascular and contain fibromyxoid stroma; (c) H&E 400x reveals the papillary structures are lined by bland endothelial cells.
case_images: CRIC2017-8185601.005.jpg
case_images: PMC5385231_01_CRIC2017-8185601.005.jpg
case_images: fig5
case_images: Pathology showed papillary structures lined by endothelium consisting of fibromyxoid stroma with dense areas of hyalinized stroma, confirming the diagnosis of a papillary fibroelastoma of the mitral valve (Figure 5).