Jaksic Jurinjak Sandra, Vincelj Josip, Rudez Igor, Lisicic Ante, Jurin Ivana, Manojlovic Spomenka, Udovicic Mario, Starcevic Boris
Department of Cardiovascular Diseases, University Hospital Dubrava, Avenija Gojka Šuška 6, 10 000 Zagreb, Croatia.
Department of Cardiac and Transplantation Surgery, University Hospital Dubrava, Avenija Gojka Šuška 6, 10 000 Zagreb, Croatia.
Heart Surg Forum. 2019 Apr 12;22(2):E162-E164. doi: 10.1532/hsf.2381.
Primary cardiac neoplasms are extremely rare and often overlooked as differential diagnosis. Angiosarcomas are the most common primary malignant neoplasms of the heart often with nonspecific symptoms. We present a 43-year-old woman admitted to our hospital with chest pain and inferoposterolateral myocardial infarction. Coronary angiography indicated the distal occlusion of the left circumflex artery. Transthoracic and transoesophagic echocardiography revealed a mass in the left atrium with probable myocardial infiltration and vascularisation. The mass in the left atrium was removed by surgical resection, and histopathology confirmed angiosarcoma. We emphasize the pivotal role of transthoracic and transoesophageal echocardiography in evaluating even rare differential diagnosis of acute coronary syndrome as cardiac neoplasms.
原发性心脏肿瘤极为罕见，在鉴别诊断中常被忽视。血管肉瘤是心脏最常见的原发性恶性肿瘤，通常伴有非特异性症状。我们报告一名43岁女性因胸痛和下后外侧心肌梗死入院。冠状动脉造影显示左旋支动脉远端闭塞。经胸和经食管超声心动图显示左心房有一肿块，可能有心肌浸润和血管形成。通过手术切除左心房肿块，组织病理学证实为血管肉瘤。我们强调经胸和经食管超声心动图在评估即使是罕见的急性冠状动脉综合征鉴别诊断（如心脏肿瘤）中的关键作用。
