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引起多区域卒中的乳头状纤维弹性瘤的罕见部位

Unusual Location of a Papillary Fibroelastoma Causing a Multi-territorial Stroke.

作者信息

Scully Timothy G, Wong Edmond, Barton Timothy, Hayward Philip

机构信息

Department of Cardiology, Eastern Health, Box Hill Hospital, Box Hill, Victoria, Australia.

出版信息

J Cardiovasc Echogr. 2024 Jan-Mar;34(1):29-31. doi: 10.4103/jcecho.jcecho_66_23. Epub 2024 Apr 26.

DOI:10.4103/jcecho.jcecho_66_23
PMID:38818312
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11135819/
Abstract

A 56-year-old male presented with a multi-territorial stroke without traditional cerebrovascular risk factors. A transesophageal echocardiogram revealed an intracardiac lesion attached to the lateral wall of the left atria, consistent with an atrial myxoma. Surgical excision of the lesion was performed and revealed that lesion was in fact a papillary fibroelastoma with thrombus attached, which demonstrates a novel mechanism by which intracardiac masses can cause cerebral events.

摘要

一名56岁男性出现多区域卒中，无传统脑血管危险因素。经食管超声心动图显示左心房侧壁有一心脏内病变，符合心房黏液瘤。对该病变进行了手术切除，结果显示该病变实际上是一个附着有血栓的乳头状纤维弹性瘤，这揭示了心脏内肿块导致脑部病变的一种新机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ec/11135819/259c4203ab5e/JCE-34-29-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ec/11135819/cafd941e751b/JCE-34-29-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ec/11135819/259c4203ab5e/JCE-34-29-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ec/11135819/cafd941e751b/JCE-34-29-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0ec/11135819/259c4203ab5e/JCE-34-29-g002.jpg

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本文引用的文献

1
Role of three-dimensional transesophageal echocardiography in cardiac myxomas: an imaging challenge.三维经食管超声心动图在心脏黏液瘤中的作用：一项成像挑战。
Monaldi Arch Chest Dis. 2023 Sep 19;94(3). doi: 10.4081/monaldi.2023.2768.
2
Cardiac papillary fibroelastoma arising from the opening of the left inferior pulmonary vein in left atrium: A rare case report.起源于左心房左下肺静脉开口处的心脏乳头状弹力纤维瘤：一例罕见病例报告。
Medicine (Baltimore). 2019 Dec;98(49):e18281. doi: 10.1097/MD.0000000000018281.
3
Atrial Hemangioma: A Case Report and Review of the Literature.
心房血管瘤：一例病例报告及文献综述
Ann Thorac Cardiovasc Surg. 2019 Apr 20;25(2):71-81. doi: 10.5761/atcs.ra.18-00207. Epub 2019 Mar 19.
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Cardiac Myxoma: The Great Mimicker.心脏黏液瘤：极具迷惑性的病症
JACC Cardiovasc Imaging. 2017 Feb;10(2):203-206. doi: 10.1016/j.jcmg.2016.06.018.
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Global survey of the diagnostic evaluation and management of cryptogenic ischemic stroke.隐源性缺血性卒中诊断评估与管理的全球调查
Int J Stroke. 2015 Oct;10(7):1031-6. doi: 10.1111/ijs.12509. Epub 2015 May 18.
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Embolic strokes of undetermined source: the case for a new clinical construct.不明来源栓塞性脑卒中：一个新的临床概念。
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Stroke. 2009 Aug;40(8):2698-703. doi: 10.1161/STROKEAHA.109.554998. Epub 2009 Jul 9.
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Am Heart J. 2003 Sep;146(3):404-10. doi: 10.1016/S0002-8703(03)00249-7.
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Cardiac papillary fibroelastoma originating from pulmonary vein--a case report.起源于肺静脉的心脏乳头状纤维弹性瘤——一例报告
Angiology. 2002 Nov-Dec;53(6):745-8. doi: 10.1177/000331970205300619.
10
Unusually located left atrial papillary fibroelastoma with probable embolization to the spinal cord.
Echocardiography. 2001 Aug;18(6):523-6. doi: 10.1046/j.1540-8175.2001.00523.x.