PDF(Pubmed)
Abstract：
Fibroelastoma is a rare cardiac tumor that can cause embolization, stroke, myocardial infarction, heart failure, and cardiac arrest. Here, we report the case of a 45-year-old male who presented with right-sided weakness and fever. He was diagnosed with acute right frontal infarction and was found to have Streptococcus sanguinis bacteremia. Upon confirmation of a positive blood culture after 24 hours, treatment for endocarditis was initiated. Transesophageal echocardiography revealed findings highly suggestive of a papillary fibroelastoma (PFE). PFE ought to be regarded as a potential differential diagnosis in individuals who exhibit symptoms of fever, thromboembolism, and persistent bacteremia. Non-invasive imaging such as echocardiography is of great value in the diagnosis of PFE, while surgical resection remains the best treatment modality to overcome current and future associated complications.
摘要：
纤维弹性瘤是一种罕见的心脏肿瘤，可引起栓塞，中风,心肌梗塞,心力衰竭,还有心脏骤停.这里,我们报道了一例45岁男性出现右侧无力和发热的病例。他被诊断为急性右额叶梗塞，并被发现患有血链球菌菌血症。在24小时后确认血培养阳性后，开始治疗心内膜炎.经食管超声心动图显示，高度提示乳头状纤维弹性瘤（PFE）。PFE应被视为表现出发烧症状的个体的潜在鉴别诊断，血栓栓塞,和持续性菌血症.超声心动图等非侵入性影像学检查在诊断PFE中具有重要价值,而手术切除仍然是克服当前和未来相关并发症的最佳治疗方式。
