Haron Hairulfaizi, Yusof Mohd Rizal Mohd, Maskon Oteh, Ooi Joanna, Rahman Mohd Ramzisham Abdul
Heart and Lung Centre, Universiti Kebangsaaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.
Heart Surg Forum. 2012 Feb;15(1):E59-60. doi: 10.1532/HSF98.20111000.
Papillary fibroelastoma is a rare primary tumor of the heart valves. This lesion can occur on any of the valves or endothelial surface of the heart and has been detected by echocardiography, by cardiac catheterization, during open heart operations for other conditions, and at autopsy. Because of the potential for comorbidities, this tumor should be removed. We present the case of an elderly man with a diagnosis of severe mitral valve regurgitation and moderate tricuspid valve regurgitation who was suspected to have a tricuspid valve vegetation. Mitral valve replacement, tricuspid valve repair, and excision of the lesion were performed successfully. A histologic examination of the vegetation confirmed it to be a papillary fibroelastoma. We present this case to emphasize the rarity of this tumor and the importance of a correct diagnosis to avoid delaying its prompt and definitive management.
乳头状纤维弹性瘤是一种罕见的心脏瓣膜原发性肿瘤。该病变可发生于心脏的任何瓣膜或内皮表面，已通过超声心动图、心导管检查、在因其他疾病进行心脏直视手术期间以及尸检时被发现。由于存在合并症的可能性，这种肿瘤应予以切除。我们报告一例老年男性病例，诊断为重度二尖瓣反流和中度三尖瓣反流，怀疑患有三尖瓣赘生物。成功进行了二尖瓣置换、三尖瓣修复及病变切除。赘生物的组织学检查证实为乳头状纤维弹性瘤。我们报告此病例以强调这种肿瘤的罕见性以及正确诊断对于避免延误及时和确定性治疗的重要性。
