Xu Fei, Xiao Zhenghua, Peng Liqing, Qin Chaoyi, Yang Gang, Gu Jun, Zuo Yunxia
Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China (mainland).
Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China (mainland).
Am J Case Rep. 2018 Feb 27;19:214-217. doi: 10.12659/ajcr.907641.
BACKGROUND Cardiac calcified amorphous tumors (CAT) are rarely presented and featured as calcification and eosinophilic amorphous material in dense collagenous fibrous tissue. CASE REPORT Our case report describes a 47-year-old man presenting cardiac CAT with only chronic cough and occasional dizziness. Preoperative multi-modality imaging was used to evaluate it and postoperative histological study was used to confirm the diagnosis. The mass was resected and the patient was fully recovered and discharged on the 7th postoperative day. In the 1-year follow-up, transthoracic echography showed no further pathological changes. CONCLUSIONS Cardiac CAT is a non-neoplastic cardiac tumor of unknown etiology. The tumor is commonly an incidental finding and the treatment of choice is complete surgical resection. In this case, we found that that multi-modality images were helpful in evaluating and diagnosing the cardiac CAT.
背景 心脏钙化性无定形肿瘤（CAT）很少见，其特征是在致密的胶原纤维组织中有钙化和嗜酸性无定形物质。病例报告 我们的病例报告描述了一名47岁男性，仅表现为慢性咳嗽和偶尔头晕，被诊断为心脏CAT。术前采用多模态成像进行评估，术后进行组织学研究以确诊。肿块被切除，患者术后第7天完全康复出院。在1年的随访中，经胸超声心动图显示无进一步病理变化。结论 心脏CAT是一种病因不明的非肿瘤性心脏肿瘤。该肿瘤通常为偶然发现，治疗的首选方法是完整手术切除。在本病例中，我们发现多模态影像有助于评估和诊断心脏CAT。
