Locci G, Pili A, Pais M, Cirio E, Sanna A
Division of Cardiology, Hospital G. Brotzu, Cagliari, Italy.
Ital Heart J. 2001 Jul;2(7):556-8.
Cardiac involvement by metastatic gastric sarcoma is a rare event. We describe an unusual case of gastric sarcoma involving the heart in a 29-year-old man who presented with heart failure. The diagnosis was made at two-dimensional echocardiography. Heart metastases prolapsing into and obstructing the mitral valve orifice were located in the left atrium. In an attempt to excise the left atrial mass, the patient underwent heart surgery twice. The resections were non-curative. The patient died of refractory heart failure 9 months after the onset of symptoms. This case report is an example of a secondary intracavitary tumor that causes obstruction of the mitral valve orifice. Two-dimensional echocardiography has been confirmed as the examination of choice for the early diagnosis of cardiac tumors.
转移性胃肉瘤累及心脏是一种罕见的情况。我们描述了一例不同寻常的胃肉瘤病例，患者为一名29岁男性，表现为心力衰竭，心脏受累。二维超声心动图做出了诊断。脱垂并阻塞二尖瓣口的心脏转移瘤位于左心房。为切除左心房肿物，该患者接受了两次心脏手术。切除未能治愈。患者在症状出现9个月后死于难治性心力衰竭。本病例报告是继发性心腔内肿瘤导致二尖瓣口梗阻的一个实例。二维超声心动图已被确认为心脏肿瘤早期诊断的首选检查方法。
