Minatoya K, Okabayashi H, Yokota T, Hoover E L
Division of Cardiovascular Surgery, Kokura Memorial Hospital, Kitakyusyu, Japan.
Ann Thorac Surg. 1996 Nov;62(5):1519-21. doi: 10.1016/0003-4975(96)00798-9.
We experienced a case of papillary fibroelastoma of the left ventricular outflow tract in a patient with severe valvular heart disease that was detected only by transesophageal echocardiography. Preoperative detection of this lesion altered the surgical procedure to include resection of the mass through the aortic valve annulus along with repair/replacement of the valves. The literature documents sufficient morbidity/mortality to support excision of these lesions regardless of symptoms or location.
我们遇到一例左心室流出道乳头状纤维弹性瘤患者，该患者患有严重瓣膜性心脏病，仅通过经食管超声心动图检测到该肿瘤。术前对该病变的检测改变了手术方式，包括通过主动脉瓣环切除肿块以及修复/置换瓣膜。文献记载了足够的发病率/死亡率，以支持切除这些病变，无论有无症状或病变位置如何。
