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表现为心包积液的心脏毛细血管瘤:一例报告

Capillary haemangioma of the heart presenting with pericardial effusion: A case report.

作者信息

Darbari Anshuman, Singh Devender, Gilbert Shegu, Kumar Barun, Singh Neha

机构信息

Department of CTVS, AIIMS, Rishikesh-249203, India.

Department of CTVS, KMCH, Coimbatore-641014, India.

出版信息

J Cardiovasc Thorac Res. 2021;13(3):250-253. doi: 10.34172/jcvtr.2020.60. Epub 2020 Dec 23.

Abstract

Cardiac haemangiomas (CH) are rare benign primary tumours of the heart and constitute nearly 2.8% of primary cardiac tumours. In a-48-year-old female, a cardiac tumour mass over right ventricular out flow area and main pulmonary artery was detected during diagnostic workup for aetiology of recurrent pericardial effusion. Echocardiograhy and pericardial fluid findings were non conclusive. Contrast enhanced Computed tomography (CECT) and Positron emission tomography (PET) scan imaging found the exophytic, moderately hypermetabolic, heterogeneous mass lesion posterolateral to main pulmonary trunk. We did partial resection of lesion without cardiac reconstruction and open incisional biopsy through midline sternotomy incision. Histopathological analysis confirmed this as a case of Capillary type of haemangioma of heart.

摘要

心脏血管瘤(CH)是一种罕见的原发性心脏良性肿瘤,占原发性心脏肿瘤的近2.8%。在一名48岁女性患者中,在对复发性心包积液的病因进行诊断检查时,发现右心室流出道和主肺动脉区域有一个心脏肿瘤团块。超声心动图和心包积液检查结果不明确。对比增强计算机断层扫描(CECT)和正电子发射断层扫描(PET)成像发现,在主肺动脉干后外侧有一个外生性、代谢中度增高、不均匀的肿块病变。我们通过正中胸骨切开术切口对病变进行了部分切除,未进行心脏重建,并进行了开放切口活检。组织病理学分析证实这是一例心脏毛细血管型血管瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc6b/8493228/71f4e36ddc36/jcvtr-13-250-g001.jpg

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