Vázquez-Pérez J, Frontera Izquierdo P, Jordá Cuevas M, Sáinz Bas C
An Esp Pediatr. 1976 May-Jun;9(3):279-89.
Three cases of primary cardiac tumors in early infancy are reported: 1) An intrapericardial teratoma which manifested as neonatal respiratory distress, cardiac enlargement and normal electrocardiogram. Diagnosis was not made during life. 2) A fibroma was diagnosed because of the presence of a greatly enlarged heart associated to ventricular tachycardia. Angiocardiography showed the tumor localized in left ventricle. Extirpation was attempted but resulted impossible. 3) A rhabdomyoma simulating severe pulmonic stenosis. Multiple tumors were detected by angiocardiography; only some of which could be extirpated. Histopathological examination was carried out on all the patients and a complete post-mortem examination on two of them. An extensive revision of the three types of tumors is described.
本文报告了3例婴儿早期原发性心脏肿瘤的病例:1)1例心包内畸胎瘤,表现为新生儿呼吸窘迫、心脏扩大和心电图正常。生前未作出诊断。2)1例纤维瘤因心脏明显增大并伴有室性心动过速而被诊断。心血管造影显示肿瘤位于左心室。试图切除但未成功。3)1例横纹肌瘤模拟严重肺动脉狭窄。心血管造影发现多个肿瘤;仅部分肿瘤可被切除。对所有患者进行了组织病理学检查,其中2例进行了完整的尸检。本文描述了对这三种类型肿瘤的广泛回顾。