二尖瓣乳头肌纤维弹性瘤导致的视网膜分支动脉阻塞。
Branch retinal artery occlusion caused by a mitral valve papillary fibroelastoma.
作者信息
Zamora R L, Adelberg D A, Berger A S, Huettner P, Kaplan H J
机构信息
Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, Missouri.
出版信息
Am J Ophthalmol. 1995 Mar;119(3):325-9. doi: 10.1016/s0002-9394(14)71175-4.
PURPOSE
We studied clinicopathologically a branch retinal artery occlusion caused by an embolus from a mitral valve papillary fibroelastoma.
METHODS
At initial examination the patient, a 37-year-old woman, had visual acuity of 20/400 in her left eye, and eight months later her visual acuity improved to 20/20. The diagnosis required echocardiographic and radiologic studies to localize the lesion.
RESULTS
The mitral valve papillary fibroelastoma was successfully treated with tumor resection involving the mitral valve.
CONCLUSIONS
It is important to diagnose intracardiac papillary fibroelastoma, because it can cause recurrent arterial embolization and because it responds favorably to tumor resection.
目的
我们对一例由二尖瓣乳头肌纤维弹性瘤栓子引起的视网膜分支动脉阻塞进行了临床病理研究。
方法
初诊时，该患者为一名37岁女性，左眼视力为20/400，八个月后视力提高到20/20。诊断需要超声心动图和放射学检查来定位病变。
结果
二尖瓣乳头肌纤维弹性瘤通过二尖瓣肿瘤切除术成功治疗。
结论
诊断心内乳头肌纤维弹性瘤很重要，因为它可导致反复动脉栓塞，且对肿瘤切除术反应良好。
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