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心脏血管瘤导致急性心脏压塞的罕见病例。

An unusual case of acute cardiac tamponade caused by a cardiac hemangioma.

机构信息

Department of Emergency Medicine, University of Mississippi Medical Center, Jackson, MS, United States.

Department of Emergency Medicine, University of Mississippi Medical Center, Jackson, MS, United States.

出版信息

Am J Emerg Med. 2021 Sep;47:327.e1-327.e2. doi: 10.1016/j.ajem.2021.02.044. Epub 2021 Feb 24.

Abstract

Cardiac hemangiomas are exceedingly rare and can lead to cardiac tamponade. Cardiac tamponade is a true medical emergency that can cause cardiovascular collapse and death if not managed appropriately. There are many causes of cardiac tamponade such as trauma, autoimmune causes, and malignancy. Cardiac tumors are difficult to diagnose and may be present on advanced imaging including cardiac MRI. For patients with cardiac tumors causing tamponade, emergent pericardiocentesis and cardiovascular surgery consultation are necessary in management. We present a unique case of cardiac tamponade caused by a cardiac hemangioma.

摘要

心脏血管瘤极为罕见,可导致心脏压塞。心脏压塞是一种真正的医疗急症,如果处理不当,可导致心血管衰竭和死亡。心脏压塞有许多原因,如创伤、自身免疫原因和恶性肿瘤。心脏肿瘤难以诊断,可能在高级影像学检查(包括心脏 MRI)上有所表现。对于因心脏肿瘤导致压塞的患者,紧急心包穿刺和心血管外科会诊是必要的治疗手段。我们报告了一例由心脏血管瘤引起的心脏压塞的罕见病例。

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