Almagro U A, Perry L S, Choi H, Pintar K
Arch Pathol Lab Med. 1982 Jul;106(7):318-21.
Papillary fibroelastoma is a rare cardiac lesion, mostly encountered as an incidental finding at the time of autopsy but occasionally seen during life. Although this condition generally is asymptomatic, a few cases had been associated with clinical problems, such as embolic phenomena, angina pectoris, outflow tract obstruction, and sudden death. We studied six examples of this lesion, five occurring on the cardiac valves and one on the left ventricular septum. In one, the lesion was detected by echocardiography, which represents to our knowledge only the third published case in which the lesion was visualized by this diagnostic procedure and only the fourth in which the lesion was seen during life. We believe that echocardiography is sensitive in the detection of this often small, intracardiac lesion, useful in evaluating whether a case, by virtue of its size or location, carries a significant risk of causing clinical problems and therefore requires treatment.
乳头状纤维弹性瘤是一种罕见的心脏病变，大多在尸检时偶然发现，但偶尔也会在生前被发现。虽然这种情况通常无症状，但少数病例与临床问题有关，如栓塞现象、心绞痛、流出道梗阻和猝死。我们研究了6例这种病变，其中5例发生在心脏瓣膜上，1例发生在左心室间隔上。在其中1例中，该病变通过超声心动图检测到，据我们所知，这是第三例通过这种诊断程序可视化该病变的已发表病例，也是第四例在生前发现该病变的病例。我们认为，超声心动图在检测这种通常较小的心脏内病变方面很敏感，有助于评估某一病例是否因其大小或位置而具有导致临床问题的重大风险，从而需要进行治疗。
