[右心力衰竭的情况:当它不是肺栓塞时]
Enrico Tadiello1, Emma Zimelli1, Giulia Urbani1
1U.O. Cardiologia, Ospedali dell'Ovest Vicentino, Arzignano, Vicenza.
概括
主肺动脉的一种罕见的血管肉瘤模仿了肺血栓栓塞,导致错误诊断和致命的结果,尽管初步治疗血栓. 这一案例凸显了在肺动脉阻塞中考虑罕见瘤的重要性.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 肺部医学 肺部医学
背景情况:
- 右心室衰竭可以呈现出模仿肺栓塞的症状.
- 肺动脉阻塞是一种严重的疾病,需要准确的诊断.
- 肺动脉的恶性瘤非常罕见.
研究的目的:
- 报告一个罕见的肺动脉原发性血管肉瘤病例.
- 突出肺动脉血管肉瘤的诊断挑战和临床表现.
- 强调在不明原因的肺动脉阻塞的情况下进行组织学检查的重要性.
主要方法:
- 一个66岁的病人患有右心衰竭的病例报告.
- 诊断工作包括心声回声学,心脏磁共振成像和肺部计算机断层扫描血管学.
- 手术性血栓静脉切除术,然后进行组织学分析.
主要成果:
- 最初的呈现表明双边肺血栓栓塞,与抗凝剂的部分反应.
- 发生了心力衰竭的复发和低心脏输出量.
- 组织学分析显示,主要肺动脉内皮的原发性血管肉瘤是阻塞的罕见原因.
结论:
- 主要肺动脉血管瘤可以模仿肺血栓栓塞,导致诊断延迟和预后不佳.
- 对于晚期的肺动脉血管肉瘤,积极的手术和医疗管理可能是不够的.
- 组织病理学确认对于诊断肺动脉阻塞的罕见血管瘤至关重要.
相关概念视频
Imbalances in Cardiac Output
1.4K
The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
1.4K
Pathophysiology of Heart Failure
1.6K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
1.6K
Imaging Studies for Cardiovascular System I:Echocardiography
321
Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
321
Acute Respiratory Failure-II
222
Type I Respiratory Failure, or hypoxemic respiratory failure, occurs when the partial pressure of oxygen (PaO2) in arterial blood falls below 60 mmHg while breathing room air without a corresponding increase in arterial carbon dioxide levels (PaCO2). This condition highlights a significant impairment in the lungs' capacity to oxygenate the blood.
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
222
Imaging Studies for Cardiovascular System III: X-Ray
180
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
180
Pulmonary Hypertension: Classification and Pathogenesis
175
Pulmonary hypertension (PH) is a severe health condition in which the mean pulmonary arterial pressure increases to 25 mmHg or more, even when the body is at rest. This high pressure in the blood vessels that transport blood from the heart to the lungs can cause various symptoms, including shortness of breath, can lead to right heart failure, and significantly affect the overall quality of life.
There are various classifications for PH, each relating to different underlying causes and also...
There are various classifications for PH, each relating to different underlying causes and also...
175


