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老年女性呼吸困难:升主动脉壁纤维弹性瘤。

Ascending Aortic Wall Fibroelastoma in an Elderly Woman with Dyspnea.

机构信息

Einstein Medical Center, Philadelphia, Pennsylvania, US.

Shanghai Medical College of Fudan University, Shanghai, CN.

出版信息

Methodist Debakey Cardiovasc J. 2022 Jun 28;18(1):23-28. doi: 10.14797/mdcvj.1081. eCollection 2022.

DOI:10.14797/mdcvj.1081
PMID:35855402
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9248980/
Abstract

Aortic fibroelastoma is an uncommon pathology that is often found incidentally on routine cardiac imaging. The use of multimodality imaging including computerized tomography and magnetic resonance imaging has led to discovery of further distinguishing features of these lesions that may allow improved differentiation from aortic thrombi. Although most are located on cardiac valves, nonvalvular fibroelastomas have been seen on occasion. Optimal diagnosis and management of incidental aortic fibroelastomas remains debated. We describe a case of nonvalvular aortic fibroelastoma and review current diagnostic and management approaches.

摘要

主动脉纤维弹性瘤是一种不常见的病理,通常在常规心脏成像时偶然发现。多模态成像的应用,包括计算机断层扫描和磁共振成像,已经发现了这些病变的进一步特征,这可能有助于改善与主动脉血栓的区分。尽管大多数位于心脏瓣膜上,但偶尔也会在非瓣膜上看到纤维弹性瘤。偶然发现的主动脉纤维弹性瘤的最佳诊断和治疗仍存在争议。我们描述了一个非瓣膜性主动脉纤维弹性瘤的病例,并回顾了目前的诊断和治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f3c/9248980/0dae805f3845/mdcvj-18-1-1081-g4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f3c/9248980/51d5c2bdf836/mdcvj-18-1-1081-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f3c/9248980/abaca3c22f83/mdcvj-18-1-1081-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f3c/9248980/52749faf5494/mdcvj-18-1-1081-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f3c/9248980/0dae805f3845/mdcvj-18-1-1081-g4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f3c/9248980/51d5c2bdf836/mdcvj-18-1-1081-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f3c/9248980/abaca3c22f83/mdcvj-18-1-1081-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f3c/9248980/52749faf5494/mdcvj-18-1-1081-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f3c/9248980/0dae805f3845/mdcvj-18-1-1081-g4.jpg

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本文引用的文献

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Cardiac papillary fibroelastoma originating from the coumadin ridge and review of literature.起源于华法令嵴的心脏乳头状纤维弹性瘤及文献复习。
BMJ Case Rep. 2020 Aug 26;13(8):e235361. doi: 10.1136/bcr-2020-235361.
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Papillary Fibroelastoma of the Ascending Aorta.升主动脉乳头状纤维弹性瘤
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