Martínez Quesada Mar, Trujillo Berraquero Francisco, Almendro Delia Manolo, Hidalgo Urbano Rafael, Cruz Fernández José M
Servicio de Cardiología, Hospital Virgen de la Macarena, Sevilla, España.
Rev Esp Cardiol. 2005 Apr;58(4):450-2.
Primary cardiac tumors are infrequent and usually benign. They can manifest as dyspnea, chest pain, palpitations, sudden death, peripheral embolism, cyanosis, or general symptoms. They are sometimes an incidental finding in an asymptomatic patient. We describe a 33-year-old man who was seen because of dyspnea and palpitations. Transthoracic echocardiography revealed, on the lateral wall of the left ventricle, an intramyocardial mass that was successfully resected surgically. The pathologic diagnosis was hamartoma of mature cardiac myocytes. We discuss the usefulness of imaging techniques for identifying cardiac masses.
原发性心脏肿瘤并不常见,通常为良性。它们可表现为呼吸困难、胸痛、心悸、猝死、外周栓塞、发绀或全身症状。有时在无症状患者中偶然发现。我们描述了一名因呼吸困难和心悸就诊的33岁男性。经胸超声心动图显示左心室侧壁有一个心肌内肿块,该肿块已通过手术成功切除。病理诊断为成熟心肌细胞错构瘤。我们讨论了影像学技术在识别心脏肿块方面的作用。