肺动脉内密肉瘤模仿右心室外流通道 血栓
Hammam Shereef1, Omar Nahhas1, Patrycja Galazka1,2
1Aurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke's Medical Centers, Milwaukee, Wisconsin, USA.
JACC. Case reports
|January 11, 2024
概括
一个罕见的肺动脉肉瘤,模仿血栓,被诊断在一个72岁的男人. 这一案例凸显了这种不寻常的恶性瘤的诊断和治疗挑战.
科学领域:
- 心血管医学 心血管医学
- 胸部瘤学 胸部瘤学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 肺动脉内肉瘤是一种罕见且具有攻击性的恶性瘤.
- 它可以呈现出模仿其他疾病的症状,例如肺栓塞或心脏瘤.
- 心脏起器的导线可能会受到肺内质量的影响.
研究的目的:
- 报告一个罕见的肺动脉内脏肉瘤病例.
- 讨论区分它与右心室外流管血栓的诊断挑战.
- 概述这种罕见瘤的手术和病理管理策略.
主要方法:
- 一个72岁的老人患有呼吸困难和抽缩声的案例介绍.
- 诊断工作,包括成像和心声回声.
- 手术切除和本位病理学确认内肉瘤.
主要成果:
- 发现了一种罕见的肺动脉内肉瘤.
- 瘤模仿了一个右心室外流管血栓.
- 瘤影响了心脏起器的,造成了手术复杂性.
结论:
- 肺动脉内肉瘤是一种罕见的诊断,需要高度的怀疑指数.
- 多学科合作对于准确的诊断和有效的管理至关重要.
- 手术切除仍然是主要的治疗方式,由于瘤的位置和心脏器件的参与,具有挑战性的影响.
相关概念视频
Cardiac Catheterization II: Right Heart Catheterization
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
Mitral Regurgitation I: Introduction
Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
Mitral Stenosis I: Introduction
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
Mitral Stenosis II: Clinical features and Diagnostic Tests
Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
Pulmonary Embolism I: Introduction
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...


