Hu Nana, Shen Wenqian, Li Hairu, Zhang Qinghua, Cai Guohua, Zhang Yanmei, Du Guoqing
Department of Ultrasound, Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Department of Cardiovascular, Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Cardiovasc Pathol. 2021 Nov-Dec;55:107372. doi: 10.1016/j.carpath.2021.107372. Epub 2021 Jul 25.
To improve our understanding of cardiac papillary fibroelastomaand provide evidence for its treatment and prognosis.
We report a 54-year-old Chinese male who was hospitalized for a 14-day headache with a previous vertebral aneurysm history. A right atrial mass arising from the Chiari network was detected by echocardiography and complete tumor resection was performed finally. Pathologic findings confirmed the diagnosis of cardiac papillary fibroelastoma. The recovery of the patient was uneventful and follow-up echocardiographic examination revealed no recurrence of the tumor.
Transthoracic echocardiography revealed a mobile, sessile mass in the right atrium without obstructing the orifice of the tricuspid valve. The subsequent transesophageal echocardiography confirmed the presence of a 1.56cm × 1.24cm mobile, sessile, irregular mass arising from the Chiari network (Fig. 1) and showed no evidence of patent foramen ovale.
Early recognition and surgical excision is essential for patients with cardiac papillary fibroelastoma.
提高我们对心脏乳头肌纤维弹性瘤的认识，并为其治疗和预后提供依据。
我们报告一名54岁中国男性，因头痛住院14天，既往有椎动脉动脉瘤病史。经超声心动图检测发现起源于希阿里网的右心房肿块，最终进行了肿瘤完整切除。病理结果证实为心脏乳头肌纤维弹性瘤。患者恢复顺利，超声心动图随访检查未发现肿瘤复发。
经胸超声心动图显示右心房有一个可移动的、无蒂肿块，未阻塞三尖瓣口。随后的经食管超声心动图证实存在一个1.56cm×1.24cm的可移动、无蒂、不规则肿块，起源于希阿里网（图1），且未发现卵圆孔未闭的证据。
对于心脏乳头肌纤维弹性瘤患者，早期识别和手术切除至关重要。
