Right ventricular outflow tract obstruction by cardiac hemangioma in asymptomatic patient.

无症状患者心脏血管瘤导致右室流出道梗阻。

• 发表时间: 2024 May
• 来源期刊: J Surg Case Rep
• DOI: 10.1093/jscr/rjae321
• PMID: 38764738
• 文章类型: Case Reports
• 作者列表: Kaewboonlert N,Chunharas P,Pluthikarmpae N,Poontananggul J,Wongthep A,Pongsuwan N,Lerssuttipon U

关键词: benign tumor; cardiac tumor; right ventricular outflow tract obstruction; ventricular hemangioma

Abstract

Ventricular hemangiomas are rare benign tumors, pose diagnostic and therapeutic complexities. We report a case of a 52-year-old female with essential hypertension who developed a systolic ejection murmur during a hypertension clinic visit. The echocardiogram revealed a hyperechoic mass obstructing the right ventricular outflow tract, causing enlargement of the right atrium and ventricle, with a reduction in the right ventricular ejection fraction. Due to the risk of death, the patient underwent an emergency surgical resection along with tricuspid valve replacement. Postoperative recovery was uneventful, and subsequent cardiac magnetic resonance imaging showed an improvement in ejection fraction without residual tumor. This case highlights the diagnosis and therapeutic complexities of ventricular hemangiomas. With this report, we aim to provide a comprehensive review of ventricular hemangiomas and to enhance understanding of this condition for improved patient care.

摘要

脑室血管瘤是罕见的良性肿瘤，构成诊断和治疗的复杂性。我们报告了一例52岁女性原发性高血压患者，在高血压门诊就诊期间出现收缩期射血杂音。超声心动图显示高回声肿块阻塞右心室流出道，导致右心房和心室增大，右心室射血分数降低.由于死亡的风险，患者接受了紧急手术切除和三尖瓣置换术。术后恢复顺利，随后的心脏磁共振成像显示射血分数改善，没有残留肿瘤。此病例突出了心室血管瘤的诊断和治疗复杂性。有了这份报告,我们的目标是对脑室血管瘤进行全面的回顾，并加强对这种情况的了解，以改善患者的护理。