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A 63-year-old woman with an acute stroke of unknown origin was referred to our hospital for further diagnostic evaluation. Contrast-enhanced ECG-gated 64-slice spiral computed tomography depicted a well-defined, pedunculated, mobile, spherical lesion (density 52 ± 19 Hounsfield units) attached to the lateral papillary muscle of the mitral valve. The lesion showed a relatively homogenous inner structure with a slightly curled …

Papillary fibroelastoma of the mitral valve: appearance in 64-slice spiral computed tomography, magnetic resonance imaging, and echocardiography