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Pedunculated Endocardial Left Ventricular Fibroma Presenting With Cerebral and Bilateral Peripheral Embolization  Ahmad K. Darwazah, FRCS, Jamal Shoeb,

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Presentation on theme: "Pedunculated Endocardial Left Ventricular Fibroma Presenting With Cerebral and Bilateral Peripheral Embolization  Ahmad K. Darwazah, FRCS, Jamal Shoeb,"— Presentation transcript:

1 Pedunculated Endocardial Left Ventricular Fibroma Presenting With Cerebral and Bilateral Peripheral Embolization  Ahmad K. Darwazah, FRCS, Jamal Shoeb, MD, Saad S. Eissa, MD  The Annals of Thoracic Surgery  Volume 89, Issue 3, Pages (March 2010) DOI: /j.athoracsur Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) Magnetic resonance imaging shows an acute right cerebral infarction. (B) Magnetic resonance angiography shows the right middle cerebral artery is patent but is shifted upwards and medially by the infarcted area (arrow). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Echocardiography shows a left ventricular (LV) mass attached to the interventricular septum and extending to middle left ventricular cavity. (LA = left atrium; RA = right atrium; RV = right ventricle). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 The excised elongated left ventricular mass was attached by narrow stalk (arrow). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Histopathology. Left photomicrograph shows proliferating fibroblasts and mature collagen by hematoxylin and eosin stain (×400). Right photomicrograph shows fibroblasts (positive blue stain) and cardiac muscle (red stain) by Masson trichrome (×100). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

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