Successful early resection of cardiac papillary fibroelastomas

Successful early resection of cardiac papillary fibroelastomas
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成功早期切除心脏乳头状弹力纤维瘤

DOI:
10.1007/s11748-010-0654-3
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发表时间:
2011
期刊:
Gen Thorac Cardiovasc Surg
影响因子:
--
通讯作者:
Kurobe H
Kurobe H
中科院分区:
--
文献类型:
--
作者:
松田暉、森沢知之、磯部光章;他;Kurobe H

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2例既往有短暂性脑缺血发作(TIA)或胸部压迫的成人患者被转诊进行进一步研究。超声心动图在前一个患者的左心房和后一个患者的左冠状动脉尖端检测到一个摇摆的带蒂肿瘤。TIA或心绞痛样发作预期由肿瘤血栓栓塞引起。两名患者均接受了肿瘤摘除术。组织学检查结果表明,这两个肿瘤是良性乳头状纤维瘤局限于内皮细胞/内皮层。总之,早期手术切除心脏乳头状纤维瘤应进行。
Two adult patients with previous transient cerebral ischemic attacks (TIAs) or chest oppression were referred for further investigation. A swaying pedicled tumor was detected in the left atrium of the former patient and in the left coronary cusp of the latter by echocardiography. The TIA, or angina-like attack, was anticipated to be caused by thromboembolism of the tumor. Both patients underwent tumor extirpation. The histological findings demonstrated that both tumors were benign papillary fibroelastoma limited to the endocardium/endothelium layer. In conclusion, early surgical resection of a cardiac papillary fibroelastoma should be performed.
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