Umezawa Maiko, Mimura Shinya, Shimada Koji
Department of Cardiovascular Surgery, Niigata Prefectural Shibata Hospital, Shibata, Japan.
Kyobu Geka. 2018 Aug;71(8):630-632.
Cardiac papillary fibroelastoma is a rare primary cardiac tumor arising from any part of the endocardium. In particular, papillary fibroelastoma originating from the mitral valve chordae is very rare. A 66-year-old man was hospitalized for a left ventricular tumor. Echocardiography revealed a high echoic mass of the mitral valve chordae with grade I mitral regurgitation. Under cardiopulmonary bypass, we performed excision of the mass and the marginal chordae of the mitral valve, and decided there was no need of valvuloplasty. Pathological diagnosis indicated the tumor was papillary fibroelastoma. The postoperative course was uneventful and echocardiography showed no progression of mitral valve regurgitation.
心脏乳头肌纤维弹性瘤是一种罕见的原发性心脏肿瘤,起源于心内膜的任何部位。特别是起源于二尖瓣腱索的乳头肌纤维弹性瘤非常罕见。一名66岁男性因左心室肿瘤住院。超声心动图显示二尖瓣腱索有高回声团块,伴有I级二尖瓣反流。在体外循环下,我们切除了肿块及二尖瓣的边缘腱索,认为无需进行瓣膜成形术。病理诊断表明该肿瘤为乳头肌纤维弹性瘤。术后过程顺利,超声心动图显示二尖瓣反流无进展。