左心室错构瘤伴室性心动过速。

Left ventricular hamartoma associated with ventricular tachycardia.

作者信息

Dinh M H, Galvin J M, Aretz T H, Torchiana D F

机构信息

Department of Pathology, Massachusetts General Hospital, Boston 02114, USA.

出版信息

Ann Thorac Surg. 2001 May;71(5):1673-5. doi: 10.1016/s0003-4975(00)02312-2.

DOI:10.1016/s0003-4975(00)02312-2

PMID:11383821

Abstract

Cardiac hamartomas are a rare type of benign tumor affecting the heart. We describe a 33-year-old patient who presented with a wide complex tachycardia. Diagnostic imaging revealed a mass in the patient's left ventricular wall, near the apex of the heart. The mass was surgically resected and appeared benign. Its pathology was that of a hamartoma of mature cardiac myocytes. Postoperative electrophysiology evaluation showed no inducible focus and the patient remains alive and asymptomatic after 2 years of follow-up.

摘要

心脏错构瘤是一种罕见的影响心脏的良性肿瘤。我们描述了一名33岁出现宽QRS波心动过速的患者。诊断性影像学检查显示该患者左心室壁近心尖处有一肿块。该肿块经手术切除，病理显示为成熟心肌细胞错构瘤，术后电生理评估未发现可诱发的病灶，随访2年后患者仍存活且无症状。