Kammerer Inna, Besser Reinhard, Al-Azani Mohammed, Frank Christian, Bohrer Manfred H, Sack Falk-Udo
Department of Cardiac Surgery, Hospital of City Ludwigshafen, Ludwigshafen, Germany.
Institute of Pathology, Hospital of City Ludwigshafen, Ludwigshafen, Germany.
Surg J (N Y). 2015 Nov 5;1(1):e35-e37. doi: 10.1055/s-0035-1565244. eCollection 2015 Dec.
Cardiac papillary fibroelastoma (CPF) is a primary cardiac neoplasm usually detected by echocardiography. Left ventricular fibroelastomas are extremely rare. The incidence of CPF is between 0.0017 and 0.33% during autopsy studies. We report a 70-year-old man who had papillary fibroelastoma discovered and resected in 2005 that recurred in 2013. The tumor grew rapidly from 2013 to 2014. A bioprosthetic mitral valve was placed in 2014. Due to the location and nature of the recurrent tumor, mitral valve replacement was the treatment of choice to prevent a third recurrence of the fibroelastoma. The patient was discharged from the hospital on postoperative day 9.
心脏乳头肌纤维弹性瘤（CPF）是一种原发性心脏肿瘤，通常通过超声心动图检测发现。左心室纤维弹性瘤极为罕见。在尸检研究中，CPF的发病率在0.0017%至0.33%之间。我们报告一例70岁男性，其在2005年发现并切除了乳头肌纤维弹性瘤，该肿瘤于2013年复发。从2013年到2014年肿瘤迅速生长。2014年植入了生物人工二尖瓣。由于复发性肿瘤的位置和性质，二尖瓣置换术是预防纤维弹性瘤第三次复发的首选治疗方法。患者术后第9天出院。
