Scalia D, Basso C, Rizzoli G, Lupia M, Budano S, Thiene G, Venturini A
Department of Cardiovascular Surgery, University of Padova Medical School, Italy.
J Heart Valve Dis. 1997 Nov;6(6):647-50.
There is general agreement that left-sided elastomas must be removed to avoid systemic complications. Right-sided localization is less risky and surgical treatment is not agreed upon. We report a case of surgical resected fibroelastoma of the tricuspid valve and discuss the indications to surgery by reviewing the literature on the few reported cases. We feel that, if surgery is timely, the tumor can be resected, thus preserving the native valve. This provides an opportunity to prevent possible right-sided complications due to increasing tumor size and embolization.
人们普遍认为，必须切除左侧弹性瘤以避免全身并发症。右侧定位的风险较小，对于手术治疗尚无定论。我们报告一例经手术切除的三尖瓣纤维弹性瘤病例，并通过回顾少数已报道病例的文献来讨论手术指征。我们认为，如果手术及时，肿瘤可以切除，从而保留天然瓣膜。这为预防因肿瘤增大和栓塞导致的可能的右侧并发症提供了机会。
