Department of Surgery and Medico-Surgical Specialities. University of Santiago de Compostela, Spain.
Division of Cardiac Surgery, University Hospital, Santiago de Compostela, Spain.
Port J Card Thorac Vasc Surg. 2023 Apr 4;30(1):49-52. doi: 10.48729/pjctvs.332.
Cardiac papillary fibroelastoma is a rare benign primary cardiac tumor typically found on the valvular structures of the heart. Nonvalvular papillary fibroelastomas are exceedingly rare. We report the case of a 66-year-old male who presented with cerebellar infarctions and was found to have a mobile mass attached to the endocardial surface of the anteroseptal wall of the left ventricle. Cardiac magnetic resonance imaging demonstrated late gadolinium enhancement. Surgical excision of the cardiac mass was performed via the transaortic approach without intra-operative complications. Histopathologic examination confirmed the diagnosis of a papillary fibroelastoma. Some aspects related to the etiology, diagnosis and management of this entity are discussed.
心脏乳头状弹力纤维瘤是一种罕见的良性原发性心脏肿瘤，通常发生在心脏瓣膜结构上。非瓣膜性乳头状弹力纤维瘤极为罕见。我们报告了一例 66 岁男性，因小脑梗死就诊，发现心室内膜前间隔壁附有一个活动肿块。心脏磁共振成像显示晚期钆增强。心脏肿块通过经主动脉途径进行外科切除，术中无并发症。组织病理学检查证实了乳头状弹力纤维瘤的诊断。讨论了与该实体的病因、诊断和治疗相关的一些方面。
