肺动脉纤维等瘤切除在一个67岁的女性患者呈现了慢性咳
Raisa Bushra1, Jade Alice Loughran2, Amit Ranjan3
1Cardiothoracic Surgery, Bristol Heart Institute, Bristol, United Kingdom.
JACC. Case reports
|October 31, 2025
概括
一个罕见的心脏瘤 - - 乳头纤维质瘤 (papillary fibroelastoma) 在患有异常症状的患者的肺上被发现. 由于血栓塞的高风险,手术切除是必要的,强调在不寻常的情况下需要考虑心脏瘤.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 在瘤学瘤学.
背景情况:
- 乳头纤维质瘤是一种罕见的良性心脏瘤.
- 通常在心脏左侧门上发现,右侧参与是罕见的.
- 肺卷入带有显著的栓塞风险.
研究的目的:
- 报告一个罕见的肺上乳头性纤维质瘤病例.
- 讨论与右侧心脏瘤相关的诊断挑战.
- 强调在异常呈现时考虑心脏瘤的重要性.
主要方法:
- 一个67岁的女性患有慢性咳和呼吸障碍的案例介绍.
- 包括心声回声和MRI在内的成像研究被用于诊断.
- 由于高血栓风险,进行了诊断性外科切除.
主要成果:
- 在肺上发现了一个移动的质量.
- 这块质体被诊断为乳头膜纤维质瘤.
- 由于诊断不确定性和栓塞风险,计划进行外科切除.
结论:
- 这一案例强调了罕见心脏瘤的诊断挑战.
- 它强调了考虑非典型症状患者心脏瘤的重要性.
- 早期诊断和手术干预对于管理栓塞风险至关重要.
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