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一个患有大动脉巴皮lary fibroelastoma的病人中枢视网膜动脉封闭:一个病例报告
Fabian Kerwagen1,2, Antony William3, Nodir Madrahimov4
1Department of Clinical Research and Epidemiology, Comprehensive Heart Failure Center, University Hospital Würzburg, Würzburg, Am Schwarzenberg 15, 97078 Würzburg, Germany.
European heart journal. Case reports
|February 23, 2026
概括
乳头纤维质质瘤,罕见的心脏瘤,可以导致类似中风的事件. 一个小的大动脉瘤导致视力丧失,强调了早期检测和手术切除的必要性,以防止严重的栓塞并发症.
科学领域:
- 心脏病学 心脏病学
- 眼科医生 眼科 眼科
- 在瘤学瘤学.
背景情况:
- 心脏 papillary fibroelastomas 是一种罕见的内心瘤,常常起源于心脏门.
- 尽管具有良性组织学,但它们具有显著的栓塞潜力,导致缺血事件.
- 眼球栓塞,如视网膜中枢动脉封闭,是一种不常见的初始呈现.
研究的目的:
- 报告一个视网膜中枢动脉封闭的病例,作为心脏 papillary fibroelastoma 的初始表现.
- 突出跨食道心声学在识别小心脏质量的诊断实用性.
- 强调与即使是微小的乳头纤维素结质瘤相关的栓塞风险以及手术干预的重要性.
主要方法:
- 一个61岁的女性突然失去单眼视力的案例报告.
- 诊断工作包括透食管回声心脏图,以确定心脏质量.
- 手术切除质量,然后通过他的病理学确认.
主要成果:
- 由于视网膜中枢动脉封闭,患者出现了突然,无痛的单眼视力丧失.
- 过食管回声心脏图显示大动脉上有一个小 (0.6 × 0.4 × 0.2厘米) 的浮动质量.
- 组织病理学证实该质块是乳头纤维质瘤,通过手术成功切除.
结论:
- 中央视网膜动脉封闭可能是心脏 papillary fibroelastoma 的一种罕见的初级表现,强调了它们的栓塞潜力.
- 多模式成像,特别是食管横断心声成像,对于诊断这些瘤至关重要.
- 手术切除是预防复发性栓塞事件和视力丧失的推治疗方法.
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