Shiraishi Manabu, Fujimori Tomonari, Kusadokoro Sho, Shinshi Mio, Yamamoto Takahiro, Yamaguchi Atsushi
Department of Cardiovascular Surgery, Jichi Medical University Saitama Medical Center, Saitama, Japan.
Kyobu Geka. 2021 Oct;74(11):967-971.
A 75-year-old man was admitted for cerebral infarction. Magnetic resonance imaging revealed parietal lobe cerebral infarction. Transesophageal echo and contrast-enhanced computed tomography indicated mobile and speckled mass arising from left atrium. He was diagnosed with cardiogenic cerebral embolism. Under cardiopulmonary bypass, resection of the mass including endocardium tissue was per formed. The resected specimen showed multiple small fronds resembling a sea anemone. Microscopic examination showed multiple branching fronds of paucicellular and avascular fibroelastic tissue lined by a single layer of endocardium. Pathological diagnosis was papillary fibroelastoma. Three years passed without recurrence.
一名75岁男性因脑梗死入院。磁共振成像显示顶叶脑梗死。经食管超声心动图和增强计算机断层扫描显示左心房有活动的斑点状肿块。他被诊断为心源性脑栓塞。在体外循环下,切除包括心内膜组织在内的肿块。切除的标本显示有多个类似海葵的小叶片。显微镜检查显示多个分支叶片,由单层心内膜衬里的少细胞和无血管的纤维弹性组织组成。病理诊断为乳头状纤维弹性瘤。三年过去了,没有复发。