Cong L, Fan M, Tian W, Cheng M, Li G
Department of Endocrinology and Metabolism, The Second Affiliated Hospital of Harbin Medical University, Harbin, P. R. China.
Thorac Cardiovasc Surg. 2011 Apr;59(3):179-81. doi: 10.1055/s-0030-1250424. Epub 2011 Apr 8.
Pheochromocytoma is a catecholamine-secreting tumor. Most cases are intra-adrenal, and intrapericardial pheochromocytomas are extremely rare. We report a case of a 30-year-old woman with a seven-year history of hypertension. The concentration of blood noradrenaline was found to be elevated. Chest computed tomography scan showed a limited bulge in the superior border of the right atrium. Magnetic resonance imaging confirmed the existence of a tumor. Coronary arteriography detected a mass near the right atrium, which was nourished by an aberrant branch of the right coronary artery. After preoperative preparation, the patient underwent pericardial tumor resection. Postoperative recovery was uneventful and the patient was successfully discharged 20 days later.
嗜铬细胞瘤是一种分泌儿茶酚胺的肿瘤。大多数病例位于肾上腺内,而心包内嗜铬细胞瘤极为罕见。我们报告一例30岁女性,有7年高血压病史。发现血去甲肾上腺素浓度升高。胸部计算机断层扫描显示右心房上缘有局限性膨出。磁共振成像证实存在肿瘤。冠状动脉造影检测到右心房附近有一肿物,由右冠状动脉的一支异常分支供血。经过术前准备,患者接受了心包肿瘤切除术。术后恢复顺利,患者于20天后成功出院。