呈现为急性冠状动脉综合征的心脏肉瘤:一个病例报告
Jayakrishna Niari1, Kalyan S Munde1, Anant Munde1
1Department of Cardiology, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra 400008, India.
European heart journal. Case reports
|November 13, 2025
概括
心脏肉瘤是一种罕见的初级心脏恶性瘤,可以模仿急性冠状动脉综合征 (ACS). 这一案例突出了导致冠状动脉阻塞的瘤入侵,导致血管塑性手术后的ACS症状和复原.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 诊断成像 诊断成像 诊断成像
背景情况:
- 心脏质量包括原发性和二次性恶性瘤,具有多种,往往非特异性的症状.
- 心脏肉瘤是最常见的初级心脏恶性瘤,不分化形肉瘤是一个频繁的亚型.
- 由于罕见和非特异性呈现,诊断具有挑战性.
研究的目的:
- 报告一种罕见的心脏肉瘤病例,呈现为急性冠状动脉综合征 (ACS).
- 为了说明用于心脏肉瘤的诊断挑战和成像模式.
- 强调在非典型发现的ACS病例中考虑心脏瘤的重要性.
主要方法:
- 病例报告详细介绍了患者的表现,诊断工作和治疗.
- 冠状动脉图 (CAG) 用于评估冠状动脉病变.
- 两维心声谱 (2D ECHO),心磁共振 (CMR) 和18F氧葡萄糖正子发射断层扫描 (PET) 扫描用于诊断.
主要成果:
- 最初呈现ACS的患者,接受皮肤透光冠状动脉血管塑造治疗.
- 在5个月后由于LAD和LCX的总体静止静止症而引起的复发性胸痛.
- 静脉炎是由心脏肉瘤直接压缩和侵袭冠状动脉引起的,由成像证实.
结论:
- 心脏肉瘤可以异常呈现为ACS,主要是由于直接的瘤入侵或栓塞.
- 先进的成像 (CMR,PET) 对于诊断心脏瘤至关重要.
- 这一案例强调了需要在ACS中进行广泛的差异诊断,包括罕见的恶性瘤.
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