一名年轻患者的心脏副神经节瘤伴有心绞痛样症状:病例报告和文献综述

Q4 Medicine Medicina Pub Date : 2024-09-13 DOI:10.3390/medicina60091495
Batool Wael Alnahar, Bushray Almiqlash, Hala Hassanain, Ebtesam Al-Najjar, Abdullah Esmail, Asma Zainab, Iqbal Ratnani
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引用次数: 0

摘要

副神经节瘤是一种罕见的肾上腺外神经内分泌肿瘤,起源于绒毛组织,由于其临床表现多样且发病率低,给诊断和治疗带来了挑战。虽然这些肿瘤通常表现为分泌儿茶酚胺的功能性肿瘤,但其临床表现可能各不相同,导致诊断延迟和治疗困难。本研究提供了一例 22 岁的心脏副神经节瘤患者的病例,该患者最初表现为心绞痛样症状,强调了在出现非特异性主诉的年轻人中考虑这种罕见疾病的重要性。诊断成像,包括经胸超声心动图、CT 血管造影和核磁共振成像,在确定肿瘤位置和血管化方面发挥了至关重要的作用。手术切除(包括肺动脉移植和 CABG)是主要的治疗方法,但术中并发症导致患者住进了 CCU,术后并发症接踵而至,最终导致患者死亡。该病例强调了早期识别和处理手术治疗副神经节瘤并发症的重要性。
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Cardiac Paraganglioma in a Young Patient Presents with Angina-like Symptoms: A Case Report and Literature Review
Paragangliomas are rare extra-adrenal neuroendocrine tumors originating from chromaffin tissue that present a diagnostic and therapeutic challenge due to their diverse clinical manifestations and low incidence. While these tumors often manifest as catecholamine-secreting functional tumors, their clinical presentation can vary, leading to delayed diagnosis and challenging management. This study presents the case of a 22-year-old patient with cardiac paraganglioma who initially presented with angina-like symptoms, highlighting the importance of considering this rare condition in young individuals with nonspecific complaints. Diagnostic imaging, including transthoracic echocardiography, CT angiography, and MRI, played a crucial role in identifying the tumor’s location and vascularization. Surgical excision, including pulmonary artery graft and CABG, was the primary management approach, which was accompanied by intraoperative complications that later led to CCU admission, followed by postoperative complications, ultimately leading to the patient’s death. This case highlights the significance of early recognition and management of complications following a surgical approach to treat paragangliomas.
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来源期刊
Medicina
Medicina Medicine-Medicine (all)
CiteScore
0.10
自引率
0.00%
发文量
66
审稿时长
24 weeks
期刊介绍: Publicada con el apoyo del Ministerio de Ciencia, Tecnología e Innovación Productiva. Medicina no tiene propósitos comerciales. El objeto de su creación ha sido propender al adelanto de la medicina argentina. Los beneficios que pudieran obtenerse serán aplicados exclusivamente a ese fin.
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