Soberman M S, Plauth W H, Winn K J, Forest G C, Hatcher C R, Sink J D
Henrietta Egleston Hospital for Children, Atlanta, Ga.
J Thorac Cardiovasc Surg. 1988 Aug;96(2):307-9.
A 3 1/2-year-old child had a murmur of pulmonary stenosis. Echocardiography and cardiac catheterization revealed a pulmonary infundibular obstruction. Magnetic resonance imaging of the heart demonstrated a mass in the interventricular septum. The mass was successfully resected and a pathologic diagnosis of capillary hemangioma was made. Only two previous cases of hemangioma causing right ventricular outflow obstruction have been reported; both of these cases involved adults. This case represents the first report of a hemangioma causing right ventricular outflow tract obstruction in a child. An exploratory operation with resection is the treatment of choice.
一名3岁半的儿童有肺动脉狭窄杂音。超声心动图和心导管检查显示肺动脉漏斗部梗阻。心脏磁共振成像显示室间隔有一个肿块。该肿块被成功切除,病理诊断为毛细血管瘤。此前仅报道过两例血管瘤导致右心室流出道梗阻的病例;这两例均为成人。本病例是儿童血管瘤导致右心室流出道梗阻的首例报道。手术探查并切除是首选治疗方法。