Hwang M H, Brown A, Piao Z E, Scanlon P J
Department of Cardiology, Hines Veterans Administration Hospital, Illinois.
Angiology. 1990 Apr;41(4):328-32. doi: 10.1177/000331979004100410.
A sixty-three-year-old patient with malignant histiocytic lymphoma of the heart presented with both superior vena cava syndrome and cardiac tamponade. A two-dimensional echocardiogram showed a large tumor mass in the right atrium and pericardial effusion with right ventricular compression. Superior and inferior vena cavagrams disclosed a lobulated tumor located in the right atrium that extended into and obstructed the superior vena cava. After the pericardial effusion was drained and the diagnosis was established, the patient was irradiated and given chemotherapy with resolution of the tamponade and superior vena cava obstruction.
一名63岁患有心脏恶性组织细胞淋巴瘤的患者出现了上腔静脉综合征和心脏压塞。二维超声心动图显示右心房有一个大的肿瘤块以及心包积液伴右心室受压。上、下腔静脉造影显示一个位于右心房的分叶状肿瘤,该肿瘤延伸至并阻塞了上腔静脉。在引流心包积液并确诊后,对患者进行了放疗和化疗,心脏压塞和上腔静脉梗阻得以缓解。