Fuzellier J F, Torossian P F, Rubin S, Baehrel B
Service de chirurgie cardio-thoracique, hôpital Robert Debré, Reims.
Arch Mal Coeur Vaiss. 2004 Jan;97(1):67-9.
Cardiac fibroelastomas are rare benign tumours. Initially observed as a chance finding at autopsy or during cardiac surgery, the diagnosis has become more common since the introduction of echocardiography. These tumours are usually asymptomatic. When the left heart valves are involved, embolic complications may be threatening. When the right heart valves are affected they are usually asymptomatic. The authors report the case of a fibroelastoma of the tricuspid valve responsible for several syncopal attacks. The tumour was excised with preservation of the native valve. There has been no recurrence of syncope since surgery. The authors believe this to be the second reported case of fibroelastoma of the tricuspid valve presenting with syncope.
心脏纤维弹性瘤是罕见的良性肿瘤。最初是在尸检或心脏手术中偶然发现的,自从超声心动图问世以来,这种诊断变得更为常见。这些肿瘤通常无症状。当累及左心瓣膜时,栓塞并发症可能具有威胁性。当右心瓣膜受影响时,通常无症状。作者报告了一例三尖瓣纤维弹性瘤导致多次晕厥发作的病例。肿瘤被切除,同时保留了原瓣膜。自手术以来晕厥未再复发。作者认为这是第二例报告的以晕厥为表现的三尖瓣纤维弹性瘤病例。