心脏纤维母细胞瘤呈现为NSTEMI
Deeksha Grover1, Anirudh Palicherla2, Hasaan Ahmed2
1Wellstar Spalding Regional Hospital, Griffin, Georgia, USA.
JACC. Case reports
|January 21, 2026
概括
不阻塞冠状动脉的心肌梗塞 (MINOCA) 可能是由罕见的心脏瘤引起的. 一个良性纤维母细胞瘤被确定为MINOCA的病因,突出显示需要全面的成像检查.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
背景情况:
- 不阻塞冠状动脉的心肌梗塞 (MINOCA) 约占急性心肌梗塞的8%.
- 已知MINOCA的原因包括心肌炎,冠状动脉,以及心脏瘤的栓塞.
研究的目的:
- 报告一种由心脏纤维母细胞瘤引起的极为罕见的MINOCA病例.
- 强调在诊断MINOCA的原因时进行彻底的成像检查的重要性.
主要方法:
- 一名59岁的妇女出现了与非ST段升高心肌梗塞一致的症状.
- 冠状动脉扫描显示冠状动脉正常.
- 心脏磁共振成像和透食管回声心脏成像发现了一个移动的大动脉质量,后来在手术切除后确认为良性纤维母细胞瘤.
主要成果:
- 患者的MINOCA被归因于来自良性心脏纤维母细胞瘤的冠状动脉栓塞.
- 进行了大动脉膜质量的外科切除.
结论:
- 这种病例扩大了可能导致冠状动脉栓塞的心脏瘤的范围.
- 彻底审查成像研究对于确定MINOCA的潜在原因至关重要,特别是在涉及罕见心脏瘤的情况下.
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