Cardiac papillary fibroelastoma as a cause of embolic stroke: ultrasound and histopathological characteristics.
Cardiac papillary fibroelastoma as a cause of embolic stroke: ultrasound and histopathological characteristics.
复制标题
心脏乳头状弹性纤维瘤作为栓塞性中风的原因：超声和组织病理学特征。
DOI：
10.2169/internalmedicine.48.1429
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发表时间：
2009
影响因子：
1.2
通讯作者：
K. Minematsu
中科院分区：
文献类型：
--
作者：
T. Kuwashiro;K. Toyoda;R. Otsubo;H. Ishibashi;O. Tagusari;K. Minematsu
虽然心脏乳头状纤维弹力瘤是一种良性心脏肿瘤，但它可导致严重的栓塞并发症。一位51岁男性患者在右侧大脑中动脉区域出现缺血性中风。经食道超声心动图显示二尖瓣上有一个小的可移动的肿瘤，是脑部唯一可检测到的栓子来源。在组织学上，肿瘤被诊断为乳头状纤维弹性细胞瘤。在本文中，详细记录了肿瘤的超声和组织病理学特征。对于不明原因的中风患者，应进行经食道超声心动图检查，以排除这种罕见的栓塞性心脏病。
Although a cardiac papillary fibroelastoma is a benign cardiac tumor, it can cause severe embolic complications. A 51-year-old man presented with an ischemic stroke in the right middle cerebral artery territory. Transesophageal echocardiography revealed a small mobile tumor on the mitral valve as the only detectable source of emboli to the brain. On histology, the tumor was diagnosed as a papillary fibroelastoma. In this paper, the detailed characteristics of the tumor on ultrasound and histopathology are documented. In patients with cryptogenic stroke, transesophageal echocardiography should be done to rule out such an unusual emboligenic heart disease.