Department of Cardiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Echocardiography. 2021 Oct;38(10):1828-1832. doi: 10.1111/echo.15211. Epub 2021 Oct 28.
We present the case of a 75-year-old woman with typical myocardial infarction but a negative coronary angiogram. Echocardiography identified the rare cause of her chest pain: a mobile mass on the aortic valve that obstructed the coronary ostium. The histopathology revealed a papillary fibroelastoma (PFE), and her chest pain was relieved after surgical resection of the mass.
我们报告了一例 75 岁女性,典型心肌梗死但冠状动脉造影阴性。超声心动图发现了导致其胸痛的罕见病因:主动脉瓣上活动的肿块,阻塞了冠状动脉开口。组织病理学显示为乳头状弹性纤维瘤(PFE),肿块切除后患者胸痛缓解。