Kim Minkwan, Kim Suk-Hyun, Moon Sang Yi, Jeong Eu Gene, Jung Eui Han, Nam Hwa Seong, Choi Jae-Hyuk, Park Kyungil
Regional Cardiocerebrovascular Center, Dong-A University Hospital, Busan, Korea.
Regional Cardiocerebrovascular Center, Dong-A University Hospital, Busan, Korea. ; Division of Cardiology, Department of Internal Medicine, Dong-A University College of Medicine, Busan, Korea.
J Cardiovasc Ultrasound. 2014 Sep;22(3):148-50. doi: 10.4250/jcu.2014.22.3.148. Epub 2014 Sep 29.
The differential diagnosis of cardiac mass is important in determining the therapeutic plan and avoiding unnecessary surgical intervention. Non-invasive imaging methods would be useful in the diagnosis of suspected cardiac mass, because they may provide earlier diagnosis and more accurate assessment of cardiac mass. Native aortic valve thrombosis is a rare disorder and difficult to differentiate from a tumor, and in particular, a papillary fibroelastoma. Thus, the clinical decision making with imaging modalities should be performed cautiously. We recently met a female patient who had a aortic valve mass resembling papillary fibroelastoma in normal native valve. The patient underwent a surgical resection and the pathologic finding showed an organized thrombus with no evidence of papillary fibroelastoma.
心脏肿物的鉴别诊断对于确定治疗方案和避免不必要的手术干预至关重要。非侵入性成像方法在疑似心脏肿物的诊断中很有用，因为它们可能提供更早的诊断和对心脏肿物更准确的评估。原发性主动脉瓣血栓形成是一种罕见疾病，很难与肿瘤区分开来，尤其是与乳头状纤维弹性瘤区分。因此，使用成像方式进行临床决策时应谨慎。我们最近遇到一名女性患者，其正常原生瓣膜中有一个类似乳头状纤维弹性瘤的主动脉瓣肿物。该患者接受了手术切除，病理结果显示为机化血栓，无乳头状纤维弹性瘤证据。
