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[二尖瓣人工瓣膜置换术后左心室乳头状纤维弹性瘤1例报告并文献复习]

[A papillary fibroelastoma of the left ventricule in the presence of a mitral valve prosthesis. A case report and review of the literature].

作者信息

Román Herrera L, Pech Escalante C M, Martínez Enríquez A, Hernánez Chávez V G, Meléndez López C, Alva Espinosa C

机构信息

Hospital General de Zona #194, IMSS.

出版信息

Arch Inst Cardiol Mex. 1998 May-Jun;68(3):232-8.

PMID:9810345
Abstract

Papillary fibroelastoma is a rare, benign cardiac tumor. Before echocardiogram came into existence, it was diagnosed only by necropsy or incidentally at surgery. This kind of tumor may appear on the endocardial surface or in any of the valves. Although it is usually small in size, it is associated to embolic phenomena, thoracic pain and sudden death. This report presents the first case of papillary fibroelastoma in the presence of a mechanical valvular prosthesis in mitral position. In a patient 55 years old, presenting inactive rheumatic heart disease. The tumor was detected by means of transthoracic and transesophageal echocardiogram.

摘要

乳头状纤维弹性瘤是一种罕见的良性心脏肿瘤。在超声心动图出现之前,它只能通过尸检或在手术中偶然诊断出来。这种肿瘤可能出现在心内膜表面或任何瓣膜上。虽然它通常体积较小,但与栓塞现象、胸痛和猝死有关。本报告介绍了首例二尖瓣位机械瓣膜置换术后出现乳头状纤维弹性瘤的病例。患者为一名55岁患有非活动期风湿性心脏病的男性。通过经胸和经食管超声心动图检测到了该肿瘤。

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