Ben Jmaa H, Masmoudi S, Hadj Kacem A, Abdennadher M, Mhiri C, Trabelsi I, Kammoun S, Chikhrouhou H, Frikha I
Service de chirurgie cardiovasculaire et thoracique, CHU Habib Bourguiba-Sfax, route Elain-km-0,5, 3029 Sfax, Tunisie.
Ann Cardiol Angeiol (Paris). 2009 Feb;58(1):53-6. doi: 10.1016/j.ancard.2008.05.010. Epub 2008 Jun 6.
Papillary fibroelastoma is a benign primitive cardiac tumour, which can be associated with serious embolic complications. We report on a 37-year-old woman admitted for a cerebrovascular accident. Transthoracic and transesophageal echocardiography revealed a small and pedunculated mass attached to the anterior mitral leaflet. Because of the severity of its symptoms and its high embolic potential, the tumour was surgically excised and histologically diagnosed as a papillary fibroelastoma. The postoperative period was uneventful and the patient was discharged at the third day. Papillary fibroelastoma must be surgically treated because of its high embolic potential and its severe prognosis.
乳头状纤维弹性瘤是一种良性原发性心脏肿瘤，可伴有严重的栓塞并发症。我们报告一名37岁因脑血管意外入院的女性。经胸和经食管超声心动图显示一个小的带蒂肿块附着于二尖瓣前叶。由于其症状严重且栓塞风险高，该肿瘤被手术切除，组织学诊断为乳头状纤维弹性瘤。术后恢复顺利，患者于第三天出院。由于乳头状纤维弹性瘤具有高栓塞风险和严重预后，必须进行手术治疗。
