Shirota K, Yano Y, Hayase S, Ogawa K, Fujita K, Yuasa T, Kidokoro H, Abe T, Hattori T
Department of Thoracic Surgery, Japan Red Cross, Nagoya 1st Hospital, Japan.
Kyobu Geka. 1996 Jul;49(7):571-4.
A 39-year-old man presented with acute onset of left arm and left side face weakness, and mild expressive aphasia. He was referred for two-dimensional echocardiography, which demonstrated a 13 mm diameter pedunculated, mobile, echodense mass attached to the anterior leaflet of the mitral valve. At operation, the tumor was a 10 x 10 x 15 mm, rounded, and yellow-whitish mass with a short stalk arising from rough zone of the anterior leaflet of the mitral valve. The surface appeared to be sean anemone. The mitral valve with this tumor was excised and replaced with a 29 mm St Jude Medical mechanical valve. The pathological findings are typical of a papillary fibroelastoma.
一名39岁男性，突发左臂及左侧面部无力，并伴有轻度表达性失语。他被转诊接受二维超声心动图检查，结果显示二尖瓣前叶附着有一个直径13毫米、有蒂、可移动、回声致密的肿块。手术中，肿瘤为一个10×10×15毫米、圆形、黄白色的肿块，有一个短蒂，起源于二尖瓣前叶的粗糙区。其表面看起来像海葵。连同肿瘤的二尖瓣被切除，并用一个29毫米的圣犹达医疗机械瓣膜进行置换。病理检查结果为典型的乳头状纤维弹性瘤。
