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手术切除导致不稳定型心绞痛的极为罕见的主动脉壁乳头状纤维弹性瘤。

Surgical removal of an exceedingly rare papillary fibroelastoma of the aortic wall causing unstable angina.

作者信息

Masiello Paolo, Catalano Angelo, Mastrogiovanni Generoso, Eusebio Geppina, De Roberto Anna Maria, Chivasso Pierpaolo, Ciancia Giuseppe, Iesu Ivana, Triggiani Donato, Iesu Severino

机构信息

Emergency Cardiac Surgery Cardio-Thoracic and Vascular Department University Hospital "San Giovanni di Dio e Ruggi D'Aragona" Salerno Italy.

Cardiology Division Emergency Department Eboli-Battipaglia-Roccadaspide Maria SS Addolorata General Hospital Eboli Italy.

出版信息

Clin Case Rep. 2021 Aug 30;9(9):e04688. doi: 10.1002/ccr3.4688. eCollection 2021 Sep.

DOI:10.1002/ccr3.4688
PMID:34484752
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8405373/
Abstract

Difficult diagnosis is due to rarity of the case. TT or TE echocardiography is sufficient to make a correct diagnosis. The risk of embolism or coronary ostia occlusion should guide the decision for surgery.

摘要

诊断困难是由于该病例罕见。经胸或经食管超声心动图足以做出正确诊断。栓塞或冠状动脉开口闭塞的风险应指导手术决策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3661/8405373/dcb37e0d6cf0/CCR3-9-e04688-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3661/8405373/4fcd764946c0/CCR3-9-e04688-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3661/8405373/dcb37e0d6cf0/CCR3-9-e04688-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3661/8405373/4fcd764946c0/CCR3-9-e04688-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3661/8405373/dcb37e0d6cf0/CCR3-9-e04688-g001.jpg

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本文引用的文献

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Neoplasia and the Heart: Pathological Review of Effects With Clinical and Radiological Correlation.肿瘤与心脏：病理学与临床和放射学相关性的影响回顾。
J Am Coll Cardiol. 2018 Jul 10;72(2):202-227. doi: 10.1016/j.jacc.2018.05.026.
2
Papillary fibroelastoma diagnosed through multimodality cardiac imaging: a rare tumour in an uncommon location with review of literature.通过多模态心脏成像诊断的乳头状纤维弹性瘤：一种罕见于非寻常部位的肿瘤并文献复习
BMJ Case Rep. 2017 Aug 8;2017:bcr-2017-219327. doi: 10.1136/bcr-2017-219327.
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Prognostic and Bioepidemiologic Implications of Papillary Fibroelastomas.
乳头状弹性纤维瘤的预后和生物流行病学意义。
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Papillary fibroelastoma of the aortic wall with partial occlusion of the right coronary ostium.主动脉壁乳头状纤维弹性瘤伴右冠状动脉口部分闭塞。
Ann Thorac Surg. 2009 Jun;87(6):1953-4. doi: 10.1016/j.athoracsur.2008.11.039.
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Cardiac papillary fibroelastoma: a comprehensive analysis of 725 cases.心脏乳头肌纤维弹性瘤：725例病例的综合分析
Am Heart J. 2003 Sep;146(3):404-10. doi: 10.1016/S0002-8703(03)00249-7.
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Clinical and echocardiographic characteristics of papillary fibroelastomas: a retrospective and prospective study in 162 patients.乳头肌纤维弹性瘤的临床及超声心动图特征：162例患者的回顾性与前瞻性研究
Circulation. 2001 Jun 5;103(22):2687-93. doi: 10.1161/01.cir.103.22.2687.
9
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Primary tumors of the aorta.
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