Westhof F B, Chryssagis K, Liangos A, Batz G, Diegeler A
Department of Cardiovascular Surgery, Rhoen Klinikum, Bad Neustadt, Germany.
Thorac Cardiovasc Surg. 2007 Apr;55(3):204-7. doi: 10.1055/s-2006-924439.
We report on a case of a rare tumor attached to the nodulus arantii of the left coronary cusp in a 56-year-old female patient. She was referred to our institution for a non-ST elevation myocardial infarction after a troponin-positive test. Diagnosis was made by echocardiography and confirmed by surgery. After complete surgical removal of the tumor, we reconstructed the left coronary cusp with autologous pericardium. Aortic valve cusp coaptation could be completely restored. Histology revealed the diagnosis of a papillary fibroelastoma.
我们报告了一例56岁女性患者,其左冠状动脉瓣小结上附着有罕见肿瘤的病例。她在肌钙蛋白检测呈阳性后因非ST段抬高型心肌梗死被转诊至我院。通过超声心动图做出诊断,并经手术证实。在肿瘤完全手术切除后,我们用自体心包重建了左冠状动脉瓣。主动脉瓣叶的对合得以完全恢复。组织学检查确诊为乳头状纤维弹性瘤。