Wahba A, Götz W, Knüchel R, Birnbaum D E
Klinik für Herz-, Thorax- und herznahe Gefässchirurgie, Regensburg.
Z Kardiol. 1997 Jul;86(7):545-8. doi: 10.1007/s003920050093.
We present the case of a 73-year-old man with a 3-week history of recurrent exertional angina confirmed by exercise stress testing. The symptoms were caused by hemangioma situated between the pulmonary artery and the left auricle. The diagnosis was confirmed by ventriculography, coronary angiography, and CT-scanning. The tumor was completely removed through a midline sternotomy without extracorporeal circulation. Histology revealed the diagnosis of a cavernous hemangioma with endothelial lined vascular channels of varying size. The patient made an uneventful recovery and remained asymptomatic during follow up. Cardiac hemangioma are rare tumors of the heart that may cause angina by interfering with the coronary blood flow. Surgery is curative for most patients.
我们报告一例73岁男性患者，经运动负荷试验证实有3周复发性劳力性心绞痛病史。症状由位于肺动脉和左心耳之间的血管瘤引起。通过心室造影、冠状动脉造影和CT扫描确诊。通过正中胸骨切开术在无体外循环的情况下将肿瘤完全切除。组织学检查显示诊断为海绵状血管瘤，其血管腔道大小不一，内衬内皮细胞。患者恢复顺利，随访期间无症状。心脏血管瘤是罕见的心脏肿瘤，可通过干扰冠状动脉血流引起心绞痛。手术对大多数患者具有治愈性。
