PDF(Pubmed)
Abstract：
Cardiac cysticercosis is rare in clinical practice and is usually accidentally identified during cardiac surgery or autopsies. Although mostly asymptomatic, cardiac cysticercosis could present with severe clinical conditions such as myocarditis, acute myocardial infarction, and arrhythmia. We present a 51-year-old female patient who accidentally discovered a solitary mass in the myocardium. The cardiac magnetic resonance imaging revealed a nonenhanced cyst in the interventricular septum protruding into the right ventricular chamber. Because of cardiac tamponade presenting during a right ventricular endomyocardial biopsy, an emergency open-heart surgery was performed to suture the ventricular wall perforation and remove the tumor. The histopathologic report demonstrated typical cysticercosis. Cardiac cysticercosis is an uncommon lesion and may present with atypical clinical and laboratory features. Therefore, this diagnosis should be considered single or multiple cardiac cystic lesions.
摘要：
心脏囊虫病在临床实践中很少见，通常在心脏手术或尸检过程中偶然发现。虽然大多无症状，心脏囊虫病可能出现严重的临床状况，如心肌炎，急性心肌梗死,和心律不齐。我们介绍了一名51岁的女性患者，她偶然发现了心肌中的孤立肿块。心脏磁共振成像显示室间隔中未增强的囊肿突出到右心室腔中。由于右心室心内膜心肌活检期间出现心脏压塞，我们进行了紧急心脏直视手术,缝合心室壁穿孔并切除肿瘤.组织病理学报告显示典型的囊虫病。心脏囊虫病是一种罕见的病变，可能存在非典型的临床和实验室特征。因此,这种诊断应考虑为单个或多个心脏囊性病变。
