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心外膜心脏海绵状血管瘤——一例报告。

Epicardial cardiac cavernous Haemangioma-a case report.

机构信息

The first affiliated hospital of Dalian Medical University, Lianhe Avenue, Dalian, China.

出版信息

BMC Cardiovasc Disord. 2019 Jul 29;19(1):179. doi: 10.1186/s12872-019-1156-6.

Abstract

BACKGROUND

Cardiac haemangiomas are exceptionally rare. They are usually solitary growths. Cardiac haemangiomas can be classified as capillary, cavernous, or arteriovenous in nature. They can occur in any chambers of the heart, but are predominantly found at the intramural or endocardial layers.

CASE PRESENTATION

This is a rare case of a cardiac haemangioma located on the epicardium of a 52-year-old male patient. The patient complained of 1-year duration of chest tightness and shortness of breath. The haemangioma was removed successfully. For symptomatic lesions, surgical removal remains the preferred treatment.

CONCLUSION

The pathological diagnosis was primary cardiac cavernous haemangioma. In this case, the haemangioma was successfully resected with invasive surgery. No recurrence was detected on follow up.

摘要

背景

心脏血管瘤非常罕见。它们通常是单发的生长物。心脏血管瘤可分为毛细血管型、海绵状型或动静脉型。它们可以发生在心脏的任何腔室,但主要位于心壁或心内膜层。

病例介绍

这是一例罕见的心脏血管瘤位于 52 岁男性患者的心外膜。患者诉胸部发紧和呼吸急促 1 年。成功切除了血管瘤。对于有症状的病变,手术切除仍然是首选治疗方法。

结论

病理诊断为原发性心脏海绵状血管瘤。在这种情况下,通过侵袭性手术成功切除了血管瘤。随访未发现复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/089b/6664696/346661aae602/12872_2019_1156_Fig1_HTML.jpg

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