一名特纳综合征患者主动脉瓣和三尖瓣的乳头状纤维弹性瘤酷似赘生物

Papillary fibroelastomas of the aortic and tricuspid valves mimicking vegetations in a patient with Turner syndrome.

作者信息

Lin Huili, Zheng Jingsheng, O'Beirne Patrick, Ukrainski Gerald, Khaw Kenneth, Saia John, Ewing Lannae, Montilla Jorge, Bousanti Chad, Wehner Lawrence, Wrobleski Edward

机构信息

AtlantiCare Medical Center, Pomona, New Jersey, USA.

出版信息

Can J Cardiol. 2014 Oct;30(10):1250.e5-7. doi: 10.1016/j.cjca.2014.05.014. Epub 2014 May 29.

DOI:10.1016/j.cjca.2014.05.014

PMID:25174858

Abstract

A patient with Turner syndrome presented with shortness of breath with exertion. Three-dimensional transesophageal echocardiogram revealed a bicuspid aortic valve with severe aortic stenosis. There were multiple masses attached to the aortic valve and tricuspid valve, which mimicked vegetations. The patient underwent aortic and tricuspid valve replacement. Histology revealed papillary fibroelastomas of the aortic and tricuspid valves. To our knowledge, this is the first report of papillary fibroelastomas involving the left- and the right-sided valves in a patient with Turner syndrome.

摘要

一名特纳综合征患者出现劳力性呼吸困难。经食管三维超声心动图显示为二叶式主动脉瓣伴严重主动脉狭窄。主动脉瓣和三尖瓣上附着有多个肿物，类似赘生物。该患者接受了主动脉瓣和三尖瓣置换术。组织学检查显示主动脉瓣和三尖瓣为乳头状纤维弹性瘤。据我们所知，这是首例关于特纳综合征患者双侧瓣膜均出现乳头状纤维弹性瘤的报道。