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冠状动脉开口阻塞的一种罕见病因:乳头肌纤维弹性瘤。

An uncommon cause of coronary artery ostial obstruction: papillary fibroelastoma.

作者信息

Erdoes Gabor, Stalder Mario, Basciani Reto, Gugger Mathias, Carrel Thierry, Eberle Balthasar

机构信息

Department of Anesthesiology and Pain Therapy, University Hospital Bern, CH-3010 Bern, Switzerland.

出版信息

Echocardiography. 2010 Mar;27(3):337-40. doi: 10.1111/j.1540-8175.2009.01087.x.

Abstract

Cardiac papillary fibroelastoma is a benign tumor that mainly affects cardiac valves. The tumor has the potential to cause angina and myocardial infarction due to embolization of tumor fragments. We describe a rare case of right coronary artery ostial obstruction by a 12 x 19 mm sized papillary fibroelastoma located in the sinus of Valsalva. The report underlies the importance of echocardiography in diagnosis and intraoperative treatment of this type of cardiac mass.

摘要

心脏乳头肌纤维弹性瘤是一种主要累及心脏瓣膜的良性肿瘤。该肿瘤有可能因肿瘤碎片栓塞而导致心绞痛和心肌梗死。我们描述了一例罕见病例,位于主动脉瓣窦的大小为12×19毫米的乳头肌纤维弹性瘤导致右冠状动脉开口梗阻。本报告强调了超声心动图在这类心脏肿物诊断及术中治疗中的重要性。

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