Karapanagiotidis G T, Lees N, Howlett P, Zakkar M, Sarsam M
Department of Cardiothoracic Surgery, St George’s Hospital, London, UK.
Perfusion. 2012 Mar;27(2):156-9. doi: 10.1177/0267659111431124. Epub 2011 Dec 5.
An 81-year-old woman with recurrent episodes of dizzy spells was found to have a mass in the right atrium on transthoracic echocardiography. The patient underwent successful surgery to excise the mass, which was arising from the anterior leaflet of the tricuspid valve. Histology showed a papillary fibroelastoma. Although management is still controversial when such tumours are found incidentally in asymptomatic patients, surgery may be considered, especially if the tumour is large, due to the high risk of embolism.
一名81岁的女性因反复出现眩晕发作，经胸超声心动图检查发现右心房有一个肿块。患者接受了成功的手术切除肿块，该肿块起源于三尖瓣前叶。组织学检查显示为乳头状纤维弹性瘤。对于在无症状患者中偶然发现此类肿瘤时的处理仍存在争议，但手术可能是一种选择，特别是如果肿瘤较大，因为栓塞风险较高。
