Shiiku Chikara, Kikuchi Yoichi, Atsuta Yoshiaki, Yoshida Yuri, Kimura Humiaki
Department of Cardiovascular Surgery, National Obihiro Hospital, Obihiro, Japan.
Kyobu Geka. 2015 Apr;68(4):314-6.
Cardiac cavernous hemangioma is an extremely rare benign tumor. A 53-year-old female had undergone resection of left breast cancer 9 years before, and her clinical course had been uneventful for nearly 9 years. She then experienced sudden fatigability and palpitations. Pericardial effusion and a tumor-like lesion, pressing the right side of the heart, were detected by echocardiography, computed tomography and magnetic resonance imaging. Though her symptoms were ameliorated with pericardial puncture, she was referred to our department for a definitive diagnosis and, if indicated, tumor resection. At surgery the tumor was poorly demarcated and most of it was resected under extracorporeal circulation. The histopathological examination revealed it was cavernous hemangioma. The patient's postoperative course has been uneventful without recurrence for approximately 2 years.
心脏海绵状血管瘤是一种极其罕见的良性肿瘤。一名53岁女性9年前接受了左乳腺癌切除术，近9年来临床过程平稳。之后她突然出现疲劳和心悸。超声心动图、计算机断层扫描和磁共振成像检查发现心包积液以及一个压迫心脏右侧的肿瘤样病变。尽管心包穿刺使她的症状有所缓解，但她还是被转诊至我科以明确诊断，并在必要时进行肿瘤切除。手术中肿瘤边界不清，大部分在体外循环下被切除。组织病理学检查显示为海绵状血管瘤。患者术后病程平稳，约2年未复发。
