Lindsey Jennifer, Stacey Richard B
Departments of Internal Medicine Section on Cardiology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Echocardiography. 2017 Jul;34(7):1077-1081. doi: 10.1111/echo.13598. Epub 2017 Jun 29.
While echocardiography is effective for initial identification of anatomic location, magnetic resonance imaging (MRI) is a more advantageous modality for delineating tumor expanse, spread, and blood supply preoperatively. Emerging patterns may even help generate a specific diagnosis prior to biopsy and histopathology.
Our case of a 67-year-old male referred for cardiac magnetic resonance to further evaluate a cardiac mass highlights the sophisticated level of data which can be collected. Our case highlights the perfusion related findings associated with cardiac angiosarcoma.
In this case, we present the diagnosis of right atrial cardiac angiosarcoma by multiple imaging modalities including MRI and subsequent angiography, allowing for prompt surgical intervention and initiation of adjuvant therapy that resulted in a survival time of 19 months.
虽然超声心动图对初步确定解剖位置有效，但磁共振成像（MRI）在术前描绘肿瘤范围、扩散情况和血供方面是一种更具优势的检查方式。新出现的影像特征甚至可能有助于在活检和组织病理学检查之前做出明确诊断。
我们收治了一名67岁男性，因心脏磁共振检查以进一步评估心脏肿物，该病例突出了可收集到的复杂程度的数据。我们的病例突出了与心脏血管肉瘤相关的灌注相关发现。
在本病例中，我们通过包括MRI及后续血管造影在内的多种成像方式诊断出右心房心脏血管肉瘤，从而得以迅速进行手术干预并开始辅助治疗，患者生存时间达19个月。
