Palecek Tomas, Lindner Jaroslav, Vitkova Ivana, Linhart Ales
2nd Medical Department-Clinical Department of Cardiology and Angiology, General University Hospital, Charles University in Prague, Prague, Czech Republic.
Echocardiography. 2008 May;25(5):526-8. doi: 10.1111/j.1540-8175.2007.00617.x. Epub 2008 Jan 3.
Primary cardiac tumors are very rare findings. Papillary fibroelastomas are benign tumors comprising less than 10% of all primary cardiac neoplasms. They are almost always attached to valve surfaces; their location along the ventricular and atrial walls is exceptional. Affected patients are mostly asymptomatic, however peripheral or central embolic events are not rare. We describe an interesting case of papillary fibroelastoma with nonspecific systemic symptoms, arising directly from the left ventricular apex. So far, only four such cases were reported in current literature.
原发性心脏肿瘤是非常罕见的发现。乳头状纤维弹性瘤是良性肿瘤，占所有原发性心脏肿瘤的比例不到10%。它们几乎总是附着在瓣膜表面；它们位于心室和心房壁的情况很罕见。受影响的患者大多无症状，然而外周或中心性栓塞事件并不罕见。我们描述了一例有趣的乳头状纤维弹性瘤病例，该肿瘤直接起源于左心室尖，伴有非特异性全身症状。到目前为止，当前文献中仅报道了4例此类病例。
