Prospective assessment of multiple cardiac papillary fibroelastomas: An echocardiographic and surgical study
详细信息 查看全文
- 作者：Thierry Le Tourneau ; Mohamad Betto ; Marjorie Richardson ; Francis Juthier ; Pierre Vladimir Ennezat ; Anne-Sophie Polge ; Christophe Bauters ; André ; Vincentelli ; Ghislaine Deklunder
- 关键词：Cardiac papillary fibroelastoma ; Echocardiography ; Valvular heart disease ; Cardiac surgery
- 刊名：International Journal of Cardiology
- 出版年：2010
- 出版时间：19 November 2010
- 年：2010
- 卷：145
- 期：2
- 页码：319-320
- 全文大小：94 K
文摘
Multiple cardiac papillary fibroelastomas (PFEs) are thought to account for less than 10 % of patients with PFE. We aimed at evaluating the frequency and location of multiple PFEs and the reliability of transthoracic (TTE) and transoesophageal (TEE) echocardiography in diagnosing multiple PFEs. Twenty-six consecutive patients (52 ± 14 years, 65 % males) with pathologically confirmed PFE had 21 PFEs diagnosed by TTE, 33 by TEE, and 62 at surgery. Eight patients (31 % ) had multiple PFEs found either by TEE or at surgery. Aortic valve was involved in 75 % of patients with multiple PFEs and left ventricle in 38 % of patients. The sensitivity of TTE in diagnosing any PFEs was 51.3 % and 76.9 % for TEE. Our study emphasizes the high frequency of multiple PFEs, the need of TEE for all presumed PFE and the need for careful assessment of left-sided endocardial surfaces, especially of the aortic valve, during PFE excision.