Department of Anesthesiology, University of Maryland Medical Center, Baltimore, MD.
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, MD.
J Cardiothorac Vasc Anesth. 2019 Jul;33(7):2085-2090. doi: 10.1053/j.jvca.2018.12.018. Epub 2018 Dec 25.
The incidence of primary cardiac tumors is very rare (0.02%) with the majority being benign. Angiosarcoma is the most common malignant cardiac tumor. However, regardless of the histological nature of cardiac tumors, they can cause life-threatening mechanical obstruction. We present a case of urgent surgical removal of a right ventricular (RV) mass. Echocardiography was instrumental for confirmation of the diagnosis, delineation of the anatomical extent of the tumor, evaluation for associated structural involvement and assessment of repair along with constant hemodynamic monitoring.
原发性心脏肿瘤的发病率非常低(0.02%),且大多数为良性。血管肉瘤是最常见的恶性心脏肿瘤。然而,无论心脏肿瘤的组织学性质如何,它们都可能导致危及生命的机械性阻塞。我们报告了一例右心室(RV)肿块的紧急手术切除病例。超声心动图在确诊、描绘肿瘤解剖范围、评估相关结构受累以及评估修复情况和持续血流动力学监测方面发挥了重要作用。