Grande Antonino M, Massetti Massimo, Castiglione Nicoletta, Viganò Mario
Division of Cardiac Surgery, IRCCS Policlinico San Matteo Pavia, Universitià degli Studi di Pavia, Pavia, Italy.
J Heart Valve Dis. 2007 Mar;16(2):206-8.
Cardiac papillary fibroelastoma is a rare benign tumor which involves the heart valves and may cause thromboembolism or mechanical interference with valvular function. The case is presented of an asymptomatic, 22-year-old man in whom a fibroelastoma was localized on the ventricular aspect of the right coronary leaflet of the aortic valve. The tumor was identified during transthoracic echocardiography performed to monitor a mitral valve prolapse that had occurred at the age of 16 years. The patient underwent surgical intervention by means of a minimally invasive thoracotomy. The postoperative course was uneventful, and the patient was discharged on postoperative day 5. Due to the high incidence of embolism, the tumor must be surgically removed immediately a diagnosis is confirmed. A minimal surgical approach appears to be safe and allows good exposure of the lesion.
心脏乳头肌纤维弹性瘤是一种罕见的良性肿瘤，累及心脏瓣膜，可导致血栓栓塞或对瓣膜功能产生机械性干扰。本文介绍了一例22岁无症状男性病例，其纤维弹性瘤位于主动脉瓣右冠状动脉瓣叶的心室面。该肿瘤是在对16岁时发生的二尖瓣脱垂进行经胸超声心动图监测时发现的。患者通过微创开胸手术接受了手术干预。术后过程顺利，患者于术后第5天出院。由于栓塞发生率高，确诊后必须立即手术切除肿瘤。微创外科手术方法似乎是安全的，并且能够很好地暴露病变。
