Lee K J, Shin J H, Choi J H, Lee J, Kim T Y, Lee J U, Kim K S, Kim S K, Kim J H, Lim H K, Lee B H, Lee C K
Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea.
Korean J Intern Med. 1998 Jul;13(2):123-6. doi: 10.3904/kjim.1998.13.2.123.
Cardiac hemangiomas are rare primary tumors of the heart and constitute only 2.8% of primary cardiac tumors. They are classified into capillary, cavernous, epitheloid and arteriovenous type and the last one is the most uncommon type. We experienced a case of cardiac hemangioma which was diagnosed as arteriovenous type for the first time in Korea in the literature. The patient was a 54-year-old woman who presented with palpitation and anterior chest pain. The diagnosis was based upon coronary angiography which showed two tumor blushings located in the interatrial and interventricular septum with venous drainage to the coronary sinus and right atrium. Associated atrial fibrillation with rapid ventricular response was controlled with digitalis.
心脏血管瘤是罕见的原发性心脏肿瘤,仅占原发性心脏肿瘤的2.8%。它们被分为毛细血管型、海绵状型、上皮样型和动静脉型,其中最后一种是最不常见的类型。我们遇到一例心脏血管瘤,据文献记载,这是韩国首例被诊断为动静脉型的病例。患者为一名54岁女性,表现为心悸和前胸疼痛。诊断基于冠状动脉造影,造影显示两个肿瘤性充血区位于房间隔和室间隔,静脉血引流至冠状窦和右心房。伴有快速心室反应的房颤通过洋地黄得到控制。