Yavuz Balci Ahmet, Kayacioglu Ilyas, Vural Unsal, Alkan Pinar, Ates Mehmet, Tuygun Abdullah Kemal, Yekeler Ibrahim
Int J Cardiol. 2008 Jul 4;127(2):e86-8. doi: 10.1016/j.ijcard.2007.04.082. Epub 2007 Aug 15.
Cardiac papillary fibroelastoma is a rare primary cardiac tumor. It occurs mainly in the endothelium of cardiac valves. Although cardiac papillary fibroelastomas are benign tumors, they have potential life threatening complications such as sudden death, stroke, and myocardial infarction. A young man who presented two syncope attacks referred to our hospital for cardiac examination. A mass was found attached to the anterior mitral leaflet, detected by transthoracic echocardiography. We planned an urgent surgery for the patient. During operation, we found out the cauliflower shaped mass on the atrial side of the anterior mitral leaflet. We excised the tumor completely without damage to the mitral valve. We confirmed the diagnosis histopathologically. Intracardiac tumors must be excised urgently due to severe complications. It's so important to protect native valve leaflets during the excision of papillary fibroelastoma with low rates of recurrence.
心脏乳头肌纤维弹性瘤是一种罕见的原发性心脏肿瘤。它主要发生在心脏瓣膜的内皮。虽然心脏乳头肌纤维弹性瘤是良性肿瘤，但它们有潜在的危及生命的并发症，如猝死、中风和心肌梗死。一名出现两次晕厥发作的年轻男子到我院进行心脏检查。经胸超声心动图检测发现一个附着于二尖瓣前叶的肿块。我们为该患者计划了紧急手术。手术过程中，我们在二尖瓣前叶心房侧发现了菜花状肿块。我们完整切除了肿瘤，未损伤二尖瓣。我们通过组织病理学确诊。由于严重并发症，心内肿瘤必须紧急切除。在切除乳头肌纤维弹性瘤时保护天然瓣膜叶非常重要，复发率较低。
