患有心脏毛细血管血管瘤的婴儿的心周输液:一个病例报告
Alwaleed Al-Dairy1, Rama Sleem2, Rami Hamdan2
1Department of Cardiac Surgery, Faculty of Medicine, Damascus University, Fayez Mansour Street, PO Box 222, Damascus, Syrian Arab Republic.
Journal of surgical case reports
|October 17, 2025
概括
婴儿心脏毛细血管血管瘤虽然很少见,通常是良性的,但会导致严重的并发症. 在一个婴儿的右心房血栓瘤的手术 debulking 稳定了血液动力学,防止复发.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 儿科瘤学 儿科瘤学
- 心血管外科心血管外科
背景情况:
- 婴儿初级心脏瘤很少见,但可能导致危及生命的问题.
- 毛细血管瘤是婴儿最常见的良性心脏瘤.
研究的目的:
- 报告2个月大的婴儿患有快速进展的心脏毛细血管血管瘤的病例.
- 突出婴儿心脏瘤的诊断和管理挑战.
主要方法:
- 一个2个月大的女婴出现了呼吸困难和不良食.
- 胸外心电回声显示了右心房质量和心周溢出.
- 进行了紧急的外科子总瘤切除和心房重建.
主要成果:
- 组织病理学证实了良性毛细血管血管瘤 (CD31/CD34阳性).
- 婴儿在手术后表现出血液动力学稳定,并在一年后保持无复发.
- 手术解对于稳定血液动力学至关重要,尽管切割不完整.
结论:
- 心脏毛细血管血管瘤在婴儿中可能出现严重的,危及生命的并发症.
- 早期诊断和手术干预对于管理这些罕见的瘤至关重要.
- 这一案例强调了婴儿心脏血管瘤的潜在严重程度和成功管理.
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