呈现为右心室质量的良性转移性肌肉瘤
Edoardo Romano1, Jonathan Schütze1, Florian Schönhoff2
1Department of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
JACC. Case reports
|September 5, 2025
概括
良性转移性乳腺瘤 (BML) 很少会导致危及生命的右心质. 早期的心脏评估和手术对有瘤史和不明原因症状的患者至关重要.
科学领域:
- 心脏病学
- 癌症学
- 病理学
背景情况:
- 右心室质量很罕见,通常是原发性瘤或转移.
- 良性转移性乳腺瘤 (BML) 是心脏转移的不常见原因,特别是在右心脏.
研究的目的:
- 报告一个极为罕见的心脏转移病例,
- 突显心脏参与的BML的诊断和治疗挑战.
主要方法:
- 一位50岁的女性患有右心室瘤.
- 诊断工作包括成像和组织学.
- 进行手术切除和心脏重建.
主要成果:
- 在组织学上确认了良性转移性瘤 (BML) 的诊断.
- 成功的手术治疗包括大体切除,三管替换和RV-PA管道.
- 患者经历了手术后症状的消失.
结论:
- 虽然BML引起心脏转移很罕见,但可能导致严重的血液动力学损害.
- 在有瘤病史和心脏症状的患者中,高度怀疑指数和全面的心脏评估至关重要.
- 对于BML心脏转移的良好结果,迅速进行手术至关重要.
相关概念视频
Mitral Regurgitation I: Introduction
53
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...
53
Mitral Stenosis II: Clinical features and Diagnostic Tests
36
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...
36
Mitral Stenosis I: Introduction
34
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...
34
Mitral Valve Prolapse II: Assessment and Management
39
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
39
Cardiomyopathy III: Hypertrophic Cardiomyopathy
45
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
45
Mitral Valve Prolapse I: Introduction
38
IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...
38


