Department of Cardiothoracic Surgery, Papworth Hospital, Cambridge, United Kingdom.
Ann Thorac Surg. 2010 Oct;90(4):1347-9. doi: 10.1016/j.athoracsur.2010.03.094.
Cardiac tumors are rare and have a known association with ventricular dysrhythmias, especially ventricular tachycardia. We report a case of intractable ventricular tachycardia in a middle-aged man developing on a background of known, presumed benign, cardiac neoplasm. The ventricular tachycardia was controlled with long-term medical therapy. Surgical resection of the cardiac mass combined with cryoablation cured the dysrhythmia. Appearances at histopathology were those of a benign intracardiac hemangioma. Surgical treatment has an important but forgotten role in the management of ventricular arrhythmias, which is more definitive and carries a higher success rate compared with medical management.
心脏肿瘤较为罕见，已知其与室性心律失常，尤其是室性心动过速有关。我们报告了一例中年男性在已知良性心脏肿瘤的背景下发生难治性室性心动过速的病例。该患者通过长期药物治疗控制了室性心动过速。心脏肿块切除联合冷冻消融治愈了心律失常。组织病理学表现为良性心内血管瘤。与药物治疗相比，手术治疗在室性心律失常的管理中具有重要但被遗忘的作用，其效果更为明确，成功率更高。
