Georghiou Georgios P, Erez Eldad, Vidne Bernardo A, Aravot Dan
Department of Cardiothoracic Surgery, Rabin Medical Center, Beilinson Campus, Petah Tikva 49100, Israel.
Eur J Cardiothorac Surg. 2003 Mar;23(3):429-31. doi: 10.1016/s1010-7940(02)00761-3.
A 67-year-old woman was referred for investigation of intermittent dyspnea, which was known for years but had been worsening over the previous 3 months. Two-dimensional echocardiography revealed the presence of a mass attached to the anterior leaflet of the tricuspid valve. The patient was successfully operated on to excise the right atrial mass and preserve the tricuspid apparatus. Morphological examination of the excised tissue led to the diagnosis of papillary fibroelastoma. Surgical treatment should be considered when such a tumor is diagnosed, even in asymptomatic patients, because of the possible risk of embolization.
一名67岁女性因间歇性呼吸困难前来接受检查，这种症状已存在数年，但在过去3个月中有所加重。二维超声心动图显示三尖瓣前叶附着有一个肿块。患者成功接受手术，切除右心房肿块并保留三尖瓣装置。对切除组织的形态学检查确诊为乳头状纤维弹性瘤。即使是无症状患者，一旦诊断出此类肿瘤，也应考虑手术治疗，因为存在栓塞的潜在风险。
