PDF(Pubmed)
Abstract：
UNASSIGNED: Primary tumors of the heart are extremely rare occurrences. Among them, cardiac papillary fibroelastoma (CPF) is the second most common type. Although these tumors are usually benign, they can pose a risk of embolization, which may lead to severe complications like sudden death or embolization affecting the neurological, systemic, or coronary vasculature. Such complications can be life-threatening.
UNASSIGNED: In this report, the authors present the case of a 68-year-old woman who experienced ST-segment elevation myocardial infarction due to embolization from a large papillary fibroelastoma. To address the issue, the authors performed a minimally invasive surgical removal and resection of the aortic valve, followed by a histological examination to confirm the diagnosis.
UNASSIGNED: This case report discusses a rare occurrence of myocardial infarction caused by tumor embolization from a CPF. The patient presented with complete blockage of a coronary artery in the absence of atherosclerotic disease. Through a comprehensive workup, including transesophageal echocardiography, the CPF was identified as the source of embolization. Surgical resection of CPFs is curative, and recurrence has not been documented. Clinicians should consider CPFs in cases of coronary artery occlusion without atherosclerotic disease and employ transesophageal echocardiography for diagnosis. Prompt surgical intervention leads to an excellent prognosis and prevents recurrent embolization.
UNASSIGNED: This report emphasizes the importance of recognizing the potential complications associated with papillary fibroelastoma-induced embolization to the coronary arteries and highlights the need to mitigate the risk of such complications occurring.
UNASSIGNED: In this report, the authors present the case of a 68-year-old woman who experienced ST-segment elevation myocardial infarction due to embolization from a large papillary fibroelastoma. To address the issue, the authors performed a minimally invasive surgical removal and resection of the aortic valve, followed by a histological examination to confirm the diagnosis.
UNASSIGNED: This case report discusses a rare occurrence of myocardial infarction caused by tumor embolization from a CPF. The patient presented with complete blockage of a coronary artery in the absence of atherosclerotic disease. Through a comprehensive workup, including transesophageal echocardiography, the CPF was identified as the source of embolization. Surgical resection of CPFs is curative, and recurrence has not been documented. Clinicians should consider CPFs in cases of coronary artery occlusion without atherosclerotic disease and employ transesophageal echocardiography for diagnosis. Prompt surgical intervention leads to an excellent prognosis and prevents recurrent embolization.
UNASSIGNED: This report emphasizes the importance of recognizing the potential complications associated with papillary fibroelastoma-induced embolization to the coronary arteries and highlights the need to mitigate the risk of such complications occurring.
摘要：
■原发性心脏肿瘤极为罕见。其中,心脏乳头状纤维弹性瘤（CPF）是第二常见的类型。虽然这些肿瘤通常是良性的，它们会造成栓塞的风险，这可能会导致严重的并发症，如猝死或影响神经系统的栓塞，系统性，或者冠状动脉血管.这种并发症可能危及生命。
■在本报告中，作者介绍了一例68岁女性患者的病例,该患者因大型乳头状纤维弹性瘤栓塞而出现ST段抬高型心肌梗死.为了解决这个问题，作者进行了微创手术切除和切除主动脉瓣，然后进行组织学检查以确认诊断。
■本病例报告讨论了由CPF引起的肿瘤栓塞引起的罕见心肌梗死。在没有动脉粥样硬化疾病的情况下，患者出现冠状动脉完全阻塞。通过全面的检查,包括经食管超声心动图,CPF被确定为栓塞的来源.手术切除CPFs是治愈性的，和复发尚未记录。在没有动脉粥样硬化疾病的冠状动脉闭塞的情况下，临床医生应考虑CPFs，并采用经食管超声心动图进行诊断。及时的手术干预可带来良好的预后并防止复发性栓塞。
■本报告强调了认识与乳头状纤维弹性瘤诱导的冠状动脉栓塞相关的潜在并发症的重要性，并强调了降低此类并发症发生风险的必要性。
■在本报告中，作者介绍了一例68岁女性患者的病例,该患者因大型乳头状纤维弹性瘤栓塞而出现ST段抬高型心肌梗死.为了解决这个问题，作者进行了微创手术切除和切除主动脉瓣，然后进行组织学检查以确认诊断。
■本病例报告讨论了由CPF引起的肿瘤栓塞引起的罕见心肌梗死。在没有动脉粥样硬化疾病的情况下，患者出现冠状动脉完全阻塞。通过全面的检查,包括经食管超声心动图,CPF被确定为栓塞的来源.手术切除CPFs是治愈性的，和复发尚未记录。在没有动脉粥样硬化疾病的冠状动脉闭塞的情况下，临床医生应考虑CPFs，并采用经食管超声心动图进行诊断。及时的手术干预可带来良好的预后并防止复发性栓塞。
■本报告强调了认识与乳头状纤维弹性瘤诱导的冠状动脉栓塞相关的潜在并发症的重要性，并强调了降低此类并发症发生风险的必要性。
