Multi-organ infarctions secondary to a cardiac papillary fibroelastoma in early childhood.
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UNLABELLED: We report a case of a 4-year-old female who presented with an acute stroke and a renal infarct. Further diagnostic workup with a transthoracic echocardiogram revealed a cardiac mass, and a subsequent cardiac magnetic resonance imaging (MRI) confirmed the presence of a cardiac tumor. The patient underwent surgical resection of the cardiac mass, and histopathological analysis confirmed the diagnosis of a cardiac papillary fibroelastoma (CPFE). This case highlights the importance of considering CPFE in the differential diagnosis for pediatric patients presenting with embolic events and stroke concurrent with a cardiac mass, despite its rarity in this age group. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s12055-025-02166-5.