Engelen M, Bruch C, Hoffmeier A, Kersting C, Stypmann J
Department of Cardiology and Angiology, Hospital of the University of Münster, Münster, Germany.
Heart. 2005 Apr;91(4):e27. doi: 10.1136/hrt.2004.050872.
Primary cardiac tumours are quite rare and most of these tumours are benign. In this report, a patient presented with heart failure symptoms attributable to severe mitral valve stenosis. Echocardiography showed a dense left atrial mass causing functional mitral valve obstruction. The morphological and intraoperative presentation was highly suggestive of a myxoma but histopathological examination found a primary pedunculated cardiac angiosarcoma. The role of two dimensional and transoesophageal echocardiography in the assessment of cardiac masses and tumours is discussed.
原发性心脏肿瘤相当罕见,其中大多数肿瘤为良性。在本报告中,一名患者因严重二尖瓣狭窄出现心力衰竭症状。超声心动图显示左心房有一密集肿块,导致二尖瓣功能性梗阻。形态学和术中表现高度提示为黏液瘤,但组织病理学检查发现是原发性带蒂心脏血管肉瘤。本文讨论了二维和经食管超声心动图在评估心脏肿块和肿瘤中的作用。