Bansal Neha, Haidar-El-Atrache Sara, Walters Henry L, Kobayashi Daisuke
Division of Pediatric Cardiology, Children's Hospital of Michigan, Detroit, Michigan.
Division of Hospitalist Medicine, Children's Hospital of Michigan, Detroit, Michigan.
Ann Thorac Surg. 2017 Sep;104(3):e279-e281. doi: 10.1016/j.athoracsur.2017.04.040.
Cardiac lymphangioma is a rare primary benign tumor of the heart. We report a 3-year-old with cystic lymphangioma encasing the right coronary artery. Cardiac magnetic resonance imaging confirmed a intra-pericardial heterogeneous mass measuring 2.6 × 2.4 × 3.9 cm and situated right anterolateral to the ascending aorta and extending into the right atrioventricular groove. Furthermore, the right coronary artery traversed through the center of the mass. Surgical resection, on cardiopulmonary bypass, consisted of excision by skeletonizing the right coronary artery along the length of the mass. The pathology report was consistent with a lymphatic malformation. The postoperative course was uneventful without recurrence at follow-up.
心脏淋巴管瘤是一种罕见的原发性心脏良性肿瘤。我们报告了一名3岁儿童，其患有包裹右冠状动脉的囊性淋巴管瘤。心脏磁共振成像证实心包内有一个大小为2.6×2.4×3.9厘米的异质性肿块，位于升主动脉右前外侧并延伸至右房室沟。此外，右冠状动脉穿过肿块中心。在体外循环下进行手术切除，手术方式为沿肿块长度对右冠状动脉进行骨骼化切除。病理报告与淋巴管畸形相符。术后过程顺利，随访未发现复发。
