Kojima Satoshi, Sumiyoshi Masataka, Suwa Satoru, Tamura Hiroshi, Sasaki Akitoshi, Kojima Takahiko, Mineda Yoriaki, Ohta Hiroshi, Matsumoto Michio, Nakata Yasuro
Department of Cardiology, Juntendo University Izunagaoka Hospital, 1129 Nagaoka, Izunagaoka-cho, Tagata-gun, Shizuoka 410-2295, Japan.
Heart Vessels. 2003 Jul;18(3):153-6. doi: 10.1007/s00380-003-0699-7.
Cardiac hemangioma is extremely rare. We encountered two patients with cardiac hemangioma detected by thoracic echocardiography during a medical checkup. In the first case, transthoracic echocardiography revealed a pedunculated tumor in the left ventricle. Selective left coronary angiography demonstrated that the main feeding artery of the tumor arose from the third diagonal branch of the left anterior descending coronary artery. In the second case, thoracic and transesophageal echocardiography showed an oval tumor arising from the right atrium. Both tumors were successfully resected. Histopathological examination revealed that one of the tumors was a capillary hemangioma and the other was a mixed capillary and cavernous hemangioma. After operation, both patients had an uneventful recovery without any complications.
心脏血管瘤极为罕见。我们在一次体检中遇到了两名通过胸部超声心动图检测出心脏血管瘤的患者。在第一个病例中,经胸超声心动图显示左心室有一个带蒂肿瘤。选择性左冠状动脉造影显示,肿瘤的主要供血动脉来自左前降支冠状动脉的第三对角支。在第二个病例中,胸部和经食管超声心动图显示右心房有一个椭圆形肿瘤。两个肿瘤均成功切除。组织病理学检查显示,其中一个肿瘤为毛细血管瘤,另一个为毛细血管瘤与海绵状血管瘤混合型。术后,两名患者恢复顺利,无任何并发症。