PDF(Pubmed)
Abstract：
This is an account of an interesting case with an unusual cardiac presentation. He is a man in his 60s who presented with chest tightness to the accident and emergency unit. The initial thoughts were of acute coronary syndrome or acute aortic syndrome. The initial set of investigations was non-conclusive. His echocardiogram which was done during hospital admission showed asymmetric hypertrophy of the heart muscle. It was prudent to assess that new finding with an MRI scan. The patient presented to the hospital twice during the investigation and was treated for a lower respiratory tract infection. The MRI report showed an interventricular mass lesion extending to the right ventricular free wall with angiosarcoma being high up in the differential diagnosis. Going through the heart team discussion, the decision was to go for a transcatheter biopsy. The biopsy showed B-cell lymphoma. The treatment started and interestingly with satisfactory results.
摘要：
这是一个有趣的病例，有一个不寻常的心脏表现。他是一名60多岁的男子，在事故和急救部门表现出胸闷。最初的想法是急性冠状动脉综合征或急性主动脉综合征。最初的调查没有定论。住院期间进行的超声心动图显示心肌不对称肥大。通过MRI扫描评估新发现是谨慎的。该患者在调查期间两次到医院就诊，并接受了下呼吸道感染治疗。MRI报告显示室间肿块病变延伸至右心室游离壁，血管肉瘤在鉴别诊断中很高。通过心脏团队的讨论，决定进行经导管活检.活检显示B细胞淋巴瘤。治疗开始，有趣的是，结果令人满意。
