心脏CT和MRI在心脏副神经节瘤诊断及术前评估中的应用价值
Utility of cardiac CT and MRI for the diagnosis and preoperative assessment of cardiac paraganglioma.
作者信息
Alghamdi Abdullah A, Sheth Tarang, Manowski Zbigniew, Djoleto Ofei F, Bhatnagar Gopal
机构信息
Division of Cardiac Surgery, Department of Surgery, Trillium Health Center, Mississauga, Ontario, Canada.
出版信息
J Card Surg. 2009 Nov-Dec;24(6):700-1. doi: 10.1111/j.1540-8191.2009.00857.x. Epub 2009 Jul 24.
BACKGROUND
Cardiac paragangliomas are rare cardiac tumors that are usually benign. Surgical excision can be curative.
METHODS
We report a case of 39-year-old male who, during the work up of acute coronary syndrome with coronary angiography, cardiac computed tomography (CT) and magnetic resonance imaging (MRI), was found to have cardiac paraganglioma.
RESULTS
The tumor was intrapericardial, arising at the level of proximal left anterior descending artery. The tumor was completely resected and the postoperative course was uneventful. At 3-months follow-up the patient was asymptomatic with normal ventricular function.
CONCLUSION
Cardiac CT and MRI are valuable in characterizing and preoperative planning of primary cardiac paragangliomas.
背景
心脏副神经节瘤是罕见的心脏肿瘤，通常为良性。手术切除可治愈。
方法
我们报告一例39岁男性，在急性冠状动脉综合征的检查过程中，通过冠状动脉造影、心脏计算机断层扫描（CT）和磁共振成像（MRI）发现患有心脏副神经节瘤。
结果
肿瘤位于心包内，起源于左前降支近端水平。肿瘤被完全切除，术后过程顺利。在3个月的随访中，患者无症状，心室功能正常。
结论
心脏CT和MRI在原发性心脏副神经节瘤的特征描述和术前规划中具有重要价值。
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