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主动脉瓣微小多发性乳头状纤维弹性瘤的手术切除

Surgical Resection of Very Small Multiple Papillary Fibroelastomas of the Aortic Valve.

作者信息

Useini Dritan, Schlömicher Markus, Bechtel Matthias, Strauch Justus

机构信息

Department of Cardiothoracic Surgery, Ruhr-University Hospital Bergmannsheil, Bochum, Germany.

出版信息

Heart Views. 2021 Jul-Sep;22(3):220-223. doi: 10.4103/HEARTVIEWS.HEARTVIEWS_208_20. Epub 2021 Oct 11.

DOI:10.4103/HEARTVIEWS.HEARTVIEWS_208_20
PMID:34760056
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8574090/
Abstract

Papillary fibroelastomas (PFEs) in multiple presentations on the aortic valve surface are extremely rare tumors that can cause sudden major cardio-cerebral adverse events. The treatment of these tumors varies from conservative care strategy to curative surgical resection. The bigger the tumor size, the bigger seems the tendency toward surgical treatment concepts. Here, we present the case of a completely healthy young woman who suffered sudden myocardial infarction and occlusion of the circumflex artery caused by very small multiple PFEs of the aortic valve. The patient underwent cardiac surgery for resection at our institution. The surgical approach appears to be recommended as a solitary reasonable treatment option once multiple PFEs have been detected.

摘要

主动脉瓣表面出现多种表现形式的乳头状纤维弹性瘤（PFEs）是极其罕见的肿瘤，可导致严重的心脑不良事件。这些肿瘤的治疗方法从保守治疗策略到根治性手术切除不等。肿瘤越大，采用手术治疗方案的倾向似乎就越大。在此，我们报告一例完全健康的年轻女性病例，她因主动脉瓣上非常小的多发性PFEs而突发心肌梗死和回旋支动脉闭塞。该患者在我们机构接受了心脏手术切除。一旦检测到多发性PFEs，手术方法似乎是唯一合理的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc31/8574090/5c62a4ff8ebf/HV-22-220-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc31/8574090/51f3a9686377/HV-22-220-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc31/8574090/e4298d23e2d1/HV-22-220-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc31/8574090/6f75666e81e7/HV-22-220-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc31/8574090/5c62a4ff8ebf/HV-22-220-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc31/8574090/51f3a9686377/HV-22-220-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc31/8574090/e4298d23e2d1/HV-22-220-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc31/8574090/6f75666e81e7/HV-22-220-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc31/8574090/5c62a4ff8ebf/HV-22-220-g004.jpg

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本文引用的文献

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Multiple papillary fibroelastomas attached to left ventricular side and aortic side of the aortic valve: A report of new case and literature review.多个乳头肌纤维弹性瘤附着于主动脉瓣的左心室侧和主动脉侧：1例新病例报告及文献复习
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Multiple Cardiac Papillary Fibroelastomas - Are They Really Rare or Underdiagnosed?
多发性心脏乳头肌纤维弹性瘤——它们真的罕见还是诊断不足？
Heart Lung Circ. 2019 Apr;28(4):e83-e85. doi: 10.1016/j.hlc.2018.08.020. Epub 2018 Sep 15.
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