Pacini D, Farneti P A, Leone O, Galli R
Department of Cardiac Surgery, University of Bologna, Italy.
Eur J Cardiothorac Surg. 1998 Mar;13(3):322-4. doi: 10.1016/s1010-7940(98)00006-2.
Papillary fibroelastomas are rare, benign, primary cardiac tumors, usually single and small. The neoplasm consists of a leafy, soft excrescence typically located on the cardiac valves. Although papillary fibroelastomas are usually an asymptomatic incidental finding at autopsy, or during cardiac operation, they are occasionally associated with embolic coronary or cerebral symptoms. A case of a patient is reported with papillary fibroelastoma of the mitral valve chordae, who presented several transitory ischemic attacks characterized by loss of conscience, visual bilateral deficit and right emiparesis. Because of their potential systemic embolization, we believe that these lesions should be always excised.
乳头状纤维弹性瘤是一种罕见的良性原发性心脏肿瘤，通常为单个且体积较小。该肿瘤由通常位于心脏瓣膜上的叶状、柔软赘生物组成。尽管乳头状纤维弹性瘤通常在尸检或心脏手术期间是无症状的偶然发现，但它们偶尔会伴有冠状动脉或脑部栓塞症状。本文报道了一例二尖瓣腱索乳头状纤维弹性瘤患者，该患者出现了几次短暂性脑缺血发作，表现为意识丧失、双侧视力缺损和右侧轻偏瘫。由于其潜在的全身栓塞风险，我们认为这些病变应始终予以切除。
