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心脏血管瘤位于解剖学上困难的位置,表现为室性心动过速。罕见病例报告。

Cardiac hemangioma in a difficult anatomical location presented with ventricular tachycardia. A rare case report.

机构信息

Deparment of Cardiovascular Radiology, Mehmet Akif Ersoy Cardiothoracic and Vascular Surgery Training and Research Hospital, Istanbul, Turkey.

Deparment of Cardiology, Mehmet Akif Ersoy Cardiothoracic and Vascular Surgery Training and Research Hospital, Istanbul, Turkey.

出版信息

Echocardiography. 2021 Jan;38(1):118-122. doi: 10.1111/echo.14954. Epub 2020 Dec 3.

Abstract

Cardiac hemangioma is a benign and rare primary tumor of the heart. Though it has benign histopathological features, its complications can be life-threatening. We report a young adult male without any prior structural heart disease or medical history who presented with ventricular tachyarrhythmia. Echocardiography revealed an echogenic mass located intramurally in the left lateral ventricle and its distinctive characteristics were revealed with further imaging modalities. Though simple complete removal of the mass is the preferred treatment, its firm texture and thinned encircling myocardium prevented the total excision. In this case report, we discussed cardiac hemangioma, its potential complications and treatment options.

摘要

心脏血管瘤是一种良性且罕见的心脏原发性肿瘤。虽然它具有良性的组织病理学特征,但它的并发症可能会危及生命。我们报告了一例年轻男性,他没有任何先前的结构性心脏病或病史,表现为室性心动过速。超声心动图显示左心室侧壁腔内有一个强回声肿块,进一步的影像学检查揭示了其特征性表现。虽然简单地完全切除肿块是首选的治疗方法,但肿块质地坚硬且环绕的心肌变薄,导致无法完全切除。在本病例报告中,我们讨论了心脏血管瘤、其潜在并发症和治疗选择。

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