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以反复室性心动过速为表现的心脏乳头肌纤维弹性瘤

Cardiac papillary fibroelastoma presenting with recurrent ventricular tachycardia.

作者信息

Asrress Kaleab N, Mitchell Andrew R, Evans Betsy, Westaby Stephen, Alp Nicholas J

机构信息

Department of Cardiology, John Radcliffe Hospital, Oxford, UK.

出版信息

Pacing Clin Electrophysiol. 2007 Jun;30(6):820-2. doi: 10.1111/j.1540-8159.2007.00761.x.

DOI:10.1111/j.1540-8159.2007.00761.x
PMID:17547623
Abstract

A 72-year-old man presented with multiple episodes of pulseless ventricular tachycardia, 10 days following an ST-segment elevation myocardial infarction. He had a 6-year cardiovascular history that included four neurological events and two myocardial infarctions. Transesophageal echocardiography revealed two mobile masses on the aortic valve. A transaortic surgical approach was successful in removing both masses. Histology confirmed papillary fibroelastoma. The patient subsequently received an implantable cardioverter defibrillator.

摘要

一名72岁男性在ST段抬高型心肌梗死后10天,出现多次无脉性室性心动过速发作。他有6年的心血管病史,包括4次神经系统事件和2次心肌梗死。经食管超声心动图显示主动脉瓣上有两个活动肿物。经主动脉手术方法成功切除了这两个肿物。组织学检查证实为乳头状纤维弹性瘤。该患者随后接受了植入式心律转复除颤器。

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