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[二尖瓣心脏乳头肌纤维弹性瘤。病例报告]

[Cardiac papillary fibroelastoma of the mitral valve. Case report].

作者信息

Marques Joana, Ferraz Ricardo, Mota João Carlos, Vieira Manuela

机构信息

Serviços de Anestesiologia e de Cirurgia Cardio-Torácica do Centro Hospitalar de Vila Nova de Gaia/Espinho, Portugal.

出版信息

Rev Port Cir Cardiotorac Vasc. 2012 Jul-Sep;19(3):137-9.

Abstract

Cardiac papillary fibroelastomas (CPF) are rare primary cardiac tumors with predilection for heart valves, being increasingly incidentally discovered due to the widespread use of echocardiography. Most of them are asymptomatic, but they are a potential source of systemic emboli, stroke, myocardial infarction and sudden death. This report describes the case of a 70-year-old female with previous transient ischaemic attacks and an echocardiographic finding of a mass in the mitral valve. Surgery was performed with complete resection of the tumor and preservation of the mitral valve. Pathological evaluation confirmed the diagnosis of cardiac papillary fibroelastoma.

摘要

心脏乳头状纤维弹性瘤(CPF)是一种罕见的原发性心脏肿瘤,好发于心脏瓣膜,由于超声心动图的广泛应用,其检出率日益增加。它们大多无症状,但却是系统性栓塞、中风、心肌梗死和猝死的潜在来源。本报告描述了一名70岁女性的病例,该患者既往有短暂性脑缺血发作史,超声心动图发现二尖瓣有肿物。手术切除了肿瘤并保留了二尖瓣。病理评估确诊为心脏乳头状纤维弹性瘤。

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