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Updated: Feb 5, 2026

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心脏 papillary fibroelastoma 模仿左心室的角血栓

Salma El Manir¹, Lionel Camilleri¹, Phuoc Nguyen Le¹

¹Cardiac Surgery Department, Clermont-Ferrand University Hospital, Clermont-Ferrand, France.

Journal of cardiology cases

|February 4, 2026

概括

乳头纤维质质瘤 (PFE) 是一种常见的心脏瘤,可能导致中风. 这一案例突出了一个患有复发性中风的患者,通过外科PFE切除成功治疗.

科学领域:

心脏病学心脏病学
在瘤学瘤学.
神经学神经学

背景情况:

乳头纤维质质瘤 (PFE) 是最常见的初级心脏瘤.
这些瘤与显著的栓塞风险有关,包括过渡性缺血性发作 (TIA),中风和心肌梗塞.
早期诊断和治疗对于预防严重的神经事件至关重要.

研究的目的:

报告一个患有复发性缺血性中风的病例,其次是未被诊断的左心室质量.
强调诊断挑战和手术干预对心脏瘤呈现为栓塞事件的重要性.
为了突出成功的手术管理和一个患有 papillary fibroelastoma 的患者的有利结果.

主要方法:

一名64岁的女性患者有TIA和中风病史,出现了新的缺血性中风.
胸外回声心脏图 (TTE) 确定了一个左心室顶端质量,最初怀疑是血栓.
磁共振成像 (MRI) 证实了质量增长,导致手术切除和PFE的组织病理诊断.

主要成果:

患者经历了反复复发的缺血性中风,尽管抗凝治疗.
进行了左心室质量的外科切除.
组织病理学检查证实了这种质量是乳头纤维质瘤 (PFE).
患者经历了无事件的术后恢复,并在手术后10天出院.

结论:

乳头纤维生长瘤可以潜伏地呈现与反复复发的栓塞性神经事件.
多模式成像 (TTE和MRI) 对于诊断和监测至关重要.
手术切除是对症状性心脏 papillary fibroelastomas 的有效治疗方法,导致有利的结果.

关键词:

一个心脏瘤.皮囊性纤维延伸质瘤是一种皮质纤维延伸质瘤.一次性中风,中风.手术切除手术切除的方法过渡性缺血性攻击是短暂的

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