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以多发性缺血性中风为表现的极活动型左心室流出道乳头状纤维弹性瘤：一例报告并文献简要回顾

Very Mobile Left Ventricular Outflow Tract Papillary Fibroelastoma Presenting with Multiple Ischemic Strokes: A Case Report and Brief Review of the Literature.

作者信息

Barbarossa Alessandro, Coraducci Francesca, Cipolletta Laura, Guerra Federico, Russo Antonio Dello

机构信息

Cardiology and Arrhythmology Clinic, Marche Polytechnic University, University Hospital "Ospedali Riuniti," Ancona, Italy.

出版信息

J Cardiovasc Echogr. 2022 Oct-Dec;32(4):222-224. doi: 10.4103/jcecho.jcecho_40_22. Epub 2023 Jan 23.

DOI:10.4103/jcecho.jcecho_40_22
PMID:36994119
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10041401/
Abstract

Papillary fibroelastomas (PFs) are small and pedunculated left side valves associated mass, that frequently causing cerebral embolization. We present the case of a 69-year-old male with a history of multiple ischemic strokes and a small pedunculated mass in the left ventricle outflow tract, highly suggestive of a rare case of PF in an atypical localization. Due to the clinical history and the echocardiographic aspect of the mass, he underwent surgical excision and Bentall intervention for concomitant aortic root and ascending aorta aneurysm. The pathological analysis of the surgical specimen confirmed the diagnosis of PF.

摘要

乳头状纤维弹性瘤（PFs）是一种小的、有蒂的附着于左侧瓣膜的肿物，常导致脑栓塞。我们报告一例69岁男性病例，有多次缺血性中风病史，左心室流出道有一个小的有蒂肿物，高度提示为罕见的非典型部位的PF病例。鉴于该肿物的临床病史和超声心动图表现，他接受了手术切除，并因合并主动脉根部和升主动脉瘤而进行了Bentall手术。手术标本的病理分析证实了PF的诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87ad/10041401/91e5ea941414/JCE-32-222-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87ad/10041401/91e5ea941414/JCE-32-222-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87ad/10041401/91e5ea941414/JCE-32-222-g001.jpg

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Very Mobile Left Ventricular Outflow Tract Papillary Fibroelastoma Presenting with Multiple Ischemic Strokes: A Case Report and Brief Review of the Literature.以多发性缺血性中风为表现的极活动型左心室流出道乳头状纤维弹性瘤：一例报告并文献简要回顾
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本文引用的文献

1
Cardiac Papillary Fibroelastoma: A Rare Cause of Cardioembolic Stroke.心脏乳头状纤维弹性瘤：心源性脑栓塞的一个罕见病因。
Neurol India. 2022 Jan-Feb;70(1):380-383. doi: 10.4103/0028-3886.338649.
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Cardiac Tumors: State-of-the-Art Review.心脏肿瘤：最新综述
JACC CardioOncol. 2020 Jun 16;2(2):293-311. doi: 10.1016/j.jaccao.2020.05.009. eCollection 2020 Jun.
3
Transapical Left Ventricular Approach for Cardiac Papillary Fibroelastomas: A Case Report.经心尖左心室入路切除心脏乳头状纤维弹性瘤 1 例报告
In Vivo. 2020 Nov-Dec;34(6):3681-3685. doi: 10.21873/invivo.12216.
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Papillary fibroelastoma arising from left ventricular outflow tract.
Eur Heart J Cardiovasc Imaging. 2018 Jul 1;19(7):826. doi: 10.1093/ehjci/jey044.
5
Papillary fibroelastoma: clinical and echocardiographic features and initial approach in 54 cases.乳头肌纤维弹性瘤：54例患者的临床及超声心动图特征与初步处理
Echocardiography. 2016 Dec;33(12):1811-1817. doi: 10.1111/echo.13351. Epub 2016 Aug 26.
6
Non-valvular left ventricular papillary fibroelastoma in a patient with recurrent stroke.一名复发性中风患者的非瓣膜性左心室乳头肌纤维弹性瘤
Echo Res Pract. 2015 Mar 1;2(1):I7-I8. doi: 10.1530/ERP-14-0080. Epub 2015 Jan 15.
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Primary cardiac tumors on the verge of oblivion: a European experience over 15 years.被遗忘边缘的原发性心脏肿瘤：欧洲15年的经验
J Cardiothorac Surg. 2015 Apr 18;10:56. doi: 10.1186/s13019-015-0255-4.
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Images in cardiology. Ventricular outflow tract papillary fibroelastoma presenting with non-ST-segment elevation myocardial infarction.
J Am Coll Cardiol. 2010 Jun 8;55(23):2607. doi: 10.1016/j.jacc.2009.07.080.
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Unusual location in the left ventricular outflow tract and atypical symptoms of cardiac papillary fibroelastoma.左心室流出道的异常位置及心脏乳头肌纤维弹性瘤的非典型症状。
J Cardiovasc Med (Hagerstown). 2006 Oct;7(10):768-70. doi: 10.2459/01.JCM.0000247325.03278.39.
10
Surgical treatment of cardiac papillary fibroelastoma: a single center experience with eighty-eight patients.心脏乳头状纤维弹性瘤的外科治疗：单中心88例患者的经验
Ann Thorac Surg. 2005 Nov;80(5):1712-8. doi: 10.1016/j.athoracsur.2005.04.030.