Deodhar A P, Tometzki A J, Hudson I N, Mankad P S
Department of Cardiothoracic Surgery, Royal Hospital for Sick Children, Edinburgh, Scotland.
Ann Thorac Surg. 1997 Nov;64(5):1482-4. doi: 10.1016/S0003-4975(97)00941-7.
A 10-year-old child presented with biventricular failure after an acute myocardial infarction. On investigation a large tumor arising from the aortic valve was diagnosed. The patient underwent successful aortic valve replacement for complete excision of the tumor mass, which was reported to be a papillary fibroelastoma. This case report highlights the unusual presentation of an aortic valve tumor in a child with myocardial infarction. The surgical dilemmas of the timing of the operation and the nature of the operation are discussed.
一名10岁儿童在急性心肌梗死后出现双心室衰竭。经检查,诊断出一个起源于主动脉瓣的大肿瘤。患者接受了主动脉瓣置换术,成功切除了肿瘤块,据报告该肿瘤为乳头状纤维弹性瘤。本病例报告强调了主动脉瓣肿瘤在患有心肌梗死的儿童中的不寻常表现。讨论了手术时机和手术性质等手术难题。