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模拟二尖瓣闭锁的心脏横纹肌瘤。

Cardiac rhabdomyoma simulating mitral atresia.

作者信息

Mair D D, Titus J L, Davis G D, Ritter D G

出版信息

Chest. 1977 Jan;71(1):102-5. doi: 10.1378/chest.71.1.102.

DOI:10.1378/chest.71.1.102
PMID:830488
Abstract

Clinical, catheterization, and pathologic findings were recorded in a newborn infant with tuberous sclerosis and multiple cardiac rhabdomyomas that produced a clinical picture simulating mitral atresia and the hypoplastic left-heart syndrome. The clinical picture was due to a left atrial tumor that completely obstructed the mitral valvular orifice. Even if the diagnosis of left atrial tumor had been made, successful surgical correction was unlikely because of left ventricular rhabdomyomas, which produced severe subvalvular aortic stenosis and did not appear to be resectable. This case demonstrates the possibility that a hamartoma, such as a rhabdomyoma, occasionally can mimic the hypoplastic left-heart syndrome.

摘要

记录了一名患有结节性硬化症和多发性心脏横纹肌瘤的新生儿的临床、导管检查和病理结果,这些病变导致了类似二尖瓣闭锁和左心发育不全综合征的临床表现。临床症状是由一个完全阻塞二尖瓣口的左心房肿瘤引起的。即使已诊断出左心房肿瘤,由于左心室横纹肌瘤导致严重的瓣膜下主动脉狭窄且似乎无法切除,成功的手术矫正也不太可能。该病例表明,横纹肌瘤等错构瘤偶尔可能会模仿左心发育不全综合征。

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1
Cardiac rhabdomyoma simulating mitral atresia.模拟二尖瓣闭锁的心脏横纹肌瘤。
Chest. 1977 Jan;71(1):102-5. doi: 10.1378/chest.71.1.102.
2
[Rhabdomyoma of the left atrium. A rare case of mitral valve congenital obstruction simulating hypoplastic left heart syndrome. Echocardiographic diagnosis].
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Clinical presentation of rhabdomyoma of the heart in infancy and childhood.婴幼儿及儿童期心脏横纹肌瘤的临床表现。
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[Intra-cardiac tumor during Bourneville's tuberous sclerosis, simulating an abnormal implantation of the left coronary artery].[结节性硬化症(Bourneville病)合并心脏内肿瘤,酷似左冠状动脉异常植入]
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Ventricular outflow obstruction, valve aplasia, bradyarrhythmia, pulmonary hypoplasia and non-immune fetal hydrops because of a large rhabdomyoma in a case of unknown tuberous sclerosis: a prenatal diagnosed cardiac rhabdomyoma with multiple symptoms.一例不明结节性硬化症患者因巨大横纹肌瘤导致心室流出道梗阻、瓣膜发育不全、缓慢性心律失常、肺发育不全和非免疫性胎儿水肿:产前诊断的伴有多种症状的心脏横纹肌瘤
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A case of rhabdomyoma in infancy.一例婴儿期横纹肌瘤。
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Cardiac rhabdomyoma presenting as infective endocarditis: a case report.以感染性心内膜炎为表现的心脏横纹肌瘤:一例报告
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Clinical pathologic conference.临床病理讨论会
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引用本文的文献

1
Spontaneous Regression of Cardiac Rhabdomyoma Presenting as Severe Left Ventricular Inlet Obstruction in a Neonate with Tuberous Sclerosis.患有结节性硬化症的新生儿中,以严重左心室流入道梗阻为表现的心脏横纹肌瘤自发消退
Case Rep Cardiol. 2018 Jan 28;2018:8395260. doi: 10.1155/2018/8395260. eCollection 2018.
2
Imaging procedures in the detection of cardiac tumors, with emphasis on echocardiography: a review.心脏肿瘤检测中的成像程序,重点是超声心动图:综述
Cardiovasc Intervent Radiol. 1980;3(3):107-25. doi: 10.1007/BF02552329.