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[Papillary fibroelastoma of the heart (giant Lambl excrescence). Clinical-anatomical study on 10 surgically treated patients].
- Source :
-
Presse medicale (Paris, France : 1983) [Presse Med] 1998 Apr 25; Vol. 27 (16), pp. 753-7. - Publication Year :
- 1998
-
Abstract
- Objectives: The growing number of reports of surgery for papillary fibroelastomas of the heart led us to evaluate the diagnostic potential of ultrasonography in patients with cerebral or coronary signs and to assess the efficacy of anticoagulant therapy in preventing recurrent cerebral ischemia and disease progression after resection.<br />Patients and Methods: Ten cases of echographically diagnosed fibroelastoma of the heart treated by surgery were analyzed together with cases reported in the literature.<br />Results: Transesophageal echography has been shown to be the superior method. Surgical resection has given good results and the postoperative course is always excellent. Recurrent embolism occurred in two of our cases despite well-conducted anticoagulation.<br />Discussion: Surgical resection should be performed as early as possible because anticoagulation does not appear to sufficiently protect against embolic events, particularly cerebral events.
- Subjects :
- Adult
Anticoagulants therapeutic use
Brain Ischemia prevention & control
Echocardiography, Transesophageal
Female
Fibroma pathology
Fibroma surgery
Heart Neoplasms pathology
Heart Neoplasms surgery
Humans
Male
Middle Aged
Postoperative Complications prevention & control
Ultrasonography, Doppler
Fibroma diagnostic imaging
Heart Neoplasms diagnostic imaging
Subjects
Details
- Language :
- French
- ISSN :
- 0755-4982
- Volume :
- 27
- Issue :
- 16
- Database :
- MEDLINE
- Journal :
- Presse medicale (Paris, France : 1983)
- Publication Type :
- Academic Journal
- Accession number :
- 9767897