Rager K, Bohne B, Sieverding L, Schmaltz A A, Romen W
Kinderklinik, Universitäts-Kinderklinik Tübingen.
Monatsschr Kinderheilkd. 1990 Jul;138(7):403-5.
Primary cardiac tumors in infancy and childhood are extremely rare. In the young age group the clinical symptoms often are variable and can make diagnosis difficult. Depending on the histological character and especially the localisation of the mass the clinical appearance may lead to the first diagnosis or at least to further investigation. While myocardial tumors (rhabdomyomas and fibromas) mainly cause rhythmic disturbances, the intracavitary tumors (like myxomas) frequently disturb hemodynamics. Echo-cardiography is the main diagnostic technique, followed by angiocardiography, computertomography and nuclearmagneticresonance imaging.
婴幼儿期和儿童期的原发性心脏肿瘤极为罕见。在这个年轻的年龄组中,临床症状往往多变,可能导致诊断困难。根据肿块的组织学特征,尤其是其位置,临床表现可能会促成初步诊断,或者至少引发进一步检查。心肌肿瘤(横纹肌瘤和纤维瘤)主要引起节律紊乱,而心腔内肿瘤(如黏液瘤)常常扰乱血流动力学。超声心动图是主要的诊断技术,其次是心血管造影、计算机断层扫描和核磁共振成像。