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右冠状动脉区域的恶性血管内皮肉瘤:选择性冠状动脉造影成像

[Malignant hemangioendotheliosarcoma in the area of the right coronary artery: imaging by selective coronary angiography].

作者信息

Lauer B, Heintzen M, Jehle J, Krian A, Borchard F, Strauer B E

机构信息

Medizinische Klinik und Poliklinik B, Heinrich-Heine-Universität Düsseldorf.

出版信息

Z Kardiol. 1992 Nov;81(11):637-41.

PMID:1471401
Abstract

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.

摘要

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。

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