Ogechukwu Chika-Nwosuh, Christopher Nnaoma, Christoph Sossou, Etinosasere Okundaye, Jose Bustillo
Department of Medicine, Newark Beth Israel Medical Center, Robert Wood Johnson Barnabas Health, Newark, NJ, USA.
Case Rep Cardiol. 2019 Apr 4;2019:7245676. doi: 10.1155/2019/7245676. eCollection 2019.
This case presentation discusses a rare cardiac malignancy initially thought to be a benign tumor. A 36-year-old presented with syncope, dyspnea, Computed Tomography Pulmonary angiography study obtained was negative for pulmonary emboli but revealed a left atrial mass. A transesophageal echocardiogram (TEE) confirmed a mass with multiple lobes and a broad base attached to the septum, encroaching into the right atrium, aortic root wall, base of the anterior mitral leaflet flowing to the mitral orifice in diastole also obstructing the right pulmonary vein. Despite a quick diagnosis and plan to begin treatment, the patient rapidly declined owing to the extent and aggressive nature of this cardiac malignancy. This case reports the insidious nature of these tumors as well as how challenging and life threatening they are at the time of their clinical manifestation.
本病例报告讨论了一种罕见的心脏恶性肿瘤，最初被认为是良性肿瘤。一名36岁患者出现晕厥、呼吸困难，计算机断层扫描肺动脉造影检查显示肺栓塞阴性，但发现左心房有肿块。经食管超声心动图（TEE）证实有一个多叶肿块，其宽基底附着于房间隔，侵入右心房、主动脉根壁、二尖瓣前叶基部，舒张期流向二尖瓣口，还阻塞了右肺静脉。尽管迅速做出诊断并计划开始治疗，但由于这种心脏恶性肿瘤的范围和侵袭性，患者病情迅速恶化。本病例报告了这些肿瘤的隐匿性，以及它们在临床表现时的挑战性和生命威胁性。
