Lauer B, Heintzen M, Jehle J, Krian A, Borchard F, Strauer B E
Medizinische Klinik und Poliklinik B, Heinrich-Heine-Universität Düsseldorf.
Z Kardiol. 1992 Nov;81(11):637-41.
We report on a case of a malignant hemangioendotheliosarcoma in the right coronary artery. The first manifestation was a pericardial tamponade from a hemorrhagic pericardial effusion. The diagnosis was established only by selective coronary angiography of the right coronary artery, other imaging procedures did not lead to the diagnosis. During follow-up, multiple angiosarcoma developed in the liver, the spleen and, finally, in the lungs. Despite multichemotherapy, the patient died 7 months after the first manifestation.
我们报告了一例发生于右冠状动脉的恶性血管内皮肉瘤病例。首发表现为出血性心包积液导致的心包填塞。仅通过右冠状动脉选择性血管造影才得以确诊，其他影像学检查未能明确诊断。随访期间，肝脏、脾脏，最终肺部均出现多发血管肉瘤。尽管进行了多药化疗，患者在首次出现症状7个月后死亡。
