Toda R, Iguro Y, Moriyama Y, Matsumoto H, Taira A
Second Department of Surgery, Faculty of Medicine, Kagoshima University, Japan.
Jpn J Thorac Cardiovasc Surg. 2000 Feb;48(2):132-4. doi: 10.1007/BF03218108.
A 78-year-old woman was admitted with transient unknown fever and old cerebral infarction. An echocardiogram demonstrated mild mitral valve regurgitation and high echogenic mass on the mitral posterior leaflet. Surgery was performed with the diagnosis of a healed infective endocarditis. A sea anemone-like appearance tumor, 8 mm in diameter, was located on the mitral posterior leaflet. Annuloplasty was performed following removal of the tumor. A pathological examination confirmed the lesion was a papillary fibroelastoma. No evidence of infective endocarditis was seen. The cause of the fever remained unknown. The tumor was very fragile. Surgical removal was mandatory for preventing embolism despite the advanced age.
一名78岁女性因短暂不明发热及陈旧性脑梗死入院。超声心动图显示轻度二尖瓣反流，二尖瓣后叶有高回声团块。手术诊断为愈合性感染性心内膜炎。二尖瓣后叶有一个直径8mm的海葵样外观肿瘤。切除肿瘤后进行了瓣环成形术。病理检查证实病变为乳头状纤维弹性瘤。未见感染性心内膜炎证据。发热原因不明。肿瘤非常脆弱。尽管患者年事已高，但为预防栓塞仍需手术切除。
