Fitzgerald P J, Ports T A, Cheitlin M D, Magilligan D J, Tyrrell J B
Department of Medicine, University of California, San Francisco 94143, USA.
Cardiovasc Surg. 1995 Oct;3(5):557-61. doi: 10.1016/0967-2109(95)94459-a.
An intracardiac pheochromocytoma is extremely rare. This patient first presented postpartum at age 28 with clinical signs, symptoms and biochemical evidence suspicious for the diagnosis of pheochromocytoma. Multiple radiologic studies and laparotomy failed to confirm the diagnosis. Some 20 years later the patient presented with complaints of chest pain, palpitations, and flushing. Cardiac catheterization demonstrated a 'tumor blush' superior to the left atrium with a blood supply derived from the coronary arteries. Open-heart surgery was performed and the tumor successfully removed.
心脏内嗜铬细胞瘤极为罕见。该患者28岁产后首次出现临床体征、症状及生化证据,怀疑诊断为嗜铬细胞瘤。多项影像学检查和剖腹手术均未能确诊。约20年后,患者出现胸痛、心悸和脸红的症状。心导管检查显示左心房上方有“肿瘤 blush”,血供来自冠状动脉。进行了心脏直视手术,肿瘤被成功切除。