Yoda Masataka, Tanabe Hiroaki, Kanou Hiroto, Sawada Hitoshi, Suma Hisayoshi
Department of Cardiovascular Surgery, The Cardiovascular Institute, Tokyo, Japan.
J Heart Valve Dis. 2009 Sep;18(5):575-7.
Papillary fibroelastoma (PFE) is the third most common primary neoplasm of the heart. The lesions generally appear singly, but multiple PFEs may rarely occur. The case is reported of multiple PFEs in a woman initially admitted for acute cerebral infarction. Echocardiography revealed four masses, one located on each cusp of the aortic valve and one on the left ventricular outflow tract. All four lesions were successfully removed surgically. An histopathologic examination revealed PFEs arising from the ventricular and valvular endocardium.
乳头肌纤维弹性瘤（PFE）是心脏第三常见的原发性肿瘤。病变通常单个出现，但多发性PFE很少见。本文报道了一名最初因急性脑梗死入院的女性患有多发性PFE的病例。超声心动图显示有四个肿块，一个位于主动脉瓣的每个瓣叶上，一个位于左心室流出道。所有四个病变均通过手术成功切除。组织病理学检查显示PFE起源于心室和瓣膜内膜。
