Department of Cardiology, the First Affiliated Hospital of Chinese PLA General Hospital, Beijing100048, China.
Department of Cardiac Surgery, Peking University People's Hospital, Beijing 100044, China.
J Geriatr Cardiol. 2014 Dec;11(4):354-6. doi: 10.11909/j.issn.1671-5411.2014.04.011.
Coronary fistulae and ventricular septal perforation are very rare clinically, and even less caused by cardiac leiomyosarcoma. A case is reported that a 67-year-old female had cardiac leiomyosarcoma with progressive heart failure and coronary fistulae and ventricular septal perforation. This case was special since all ante-mortem examinations and cardiac surgery failed to detect the presence of any abnormal cardiac mass. Therefore, the malignant cardiac tumors could appear in an invasive form without mass and be one of the causes of the coronary fistulae and ventricular septal perforation.
冠状动脉瘘和室间隔穿孔在临床上非常罕见，由心脏平滑肌肉瘤引起的更是少见。本文报告了 1 例 67 岁女性因心脏平滑肌肉瘤导致进行性心力衰竭，同时合并冠状动脉瘘和室间隔穿孔。该病例较为特殊，所有术前检查和心脏手术均未能发现任何异常的心脏肿块。因此，恶性心脏肿瘤可能以无肿块的侵袭形式出现，是冠状动脉瘘和室间隔穿孔的原因之一。
