Vizzardi Enrico, Faggiano Pompilio, Antonioli Elena, Zanini Gregoriana, Chiari Ermanna, Nodari Savina, Cas Livio Dei
Section of Cardiovascular Disease, Department of Applied Experimental Medicine, Brescia University, Brescia, Italy.
Cases J. 2009 Jan 8;2(1):31. doi: 10.1186/1757-1626-2-31.
We describe the case of a 50-year-old woman who was admitted to a pheriferal department for heart failure. The echocardiography revealed a small mass measuring about 1.3 x 1.0 cm adhering to the non-coronary cusp of the aortic valve, mild dilated cardiomiopathy and severe biventricular dysfunction. This mass had erroneously been considered a thrombotic lesion, so the patient was treated with thrombolysis and heparin e.v. Only after a transoesophageal echocardiography a tumour cardiac mass was suspected. The diagnosis of fibroelastoma was confirmed by MRI and then from the anatomic and histoligical definition after surgery.
我们描述了一名50岁女性的病例，她因心力衰竭入住外周科室。超声心动图显示一个大小约为1.3×1.0厘米的小肿块附着于主动脉瓣无冠瓣叶，伴有轻度扩张型心肌病和严重的双心室功能障碍。这个肿块曾被错误地认为是血栓性病变，因此患者接受了溶栓和静脉注射肝素治疗。直到经食管超声心动图检查后才怀疑是心脏肿瘤性肿块。心脏纤维弹性瘤的诊断通过磁共振成像（MRI）得到证实，随后在手术后通过解剖学和组织学定义得以确认。
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