PDF(Pubmed)
Abstract：
Cardiac angiosarcoma is a malignant cardiac tumour. We present the case of a young patient in his mid-30s with recurrent pericardial effusion. He had flu-like symptoms a month earlier and had shortness of breath, lethargy, and tightness in his throat for the past ten days. Echocardiography demonstrated global pericardial effusion > 4 cm with tamponade features, and the patient was blue-lighted to our hospital. He underwent emergency pericardiocentesis, and > 1 litre of pericardial fluid was drained. Computed tomography of the chest, abdomen, and pelvis revealed small-volume ascites and moderate right-sided pleural effusion, with associated lobar collapse. The patient presented to the hospital with global pericardial effusion requiring emergency pericardiocentesis three weeks later and underwent cardiac magnetic resonance imaging demonstrating global pericardial effusion and a 48 × 26 mm pericardial space mass adjacent to the right atrium. He underwent surgical resection of the tumour, followed by chemotherapy, and tolerated the treatment well. The patient is currently under follow-up.
摘要：
心脏血管肉瘤是一种恶性心脏肿瘤。我们介绍了一名30多岁的年轻患者反复出现心包积液的情况。他一个月前出现流感样症状，呼吸急促，嗜睡,在过去的十天里，他的喉咙都很紧。超声心动图显示整体心包积液>4cm，有填塞特征，病人被蓝灯送到我们医院。他接受了紧急心包穿刺术,排出>1升心包液。胸部计算机断层扫描,腹部，骨盆显示少量腹水和中度右侧胸腔积液，伴有叶状塌陷。三周后，患者出现了整体心包积液，需要进行紧急心包穿刺术，并接受了心脏磁共振成像，显示了整体心包积液和右心房附近的48×26mm心包间隙。他接受了肿瘤的手术切除,然后是化疗,并且很好地耐受治疗。患者目前正在随访中。
