肺动脉内膜肉瘤引发的复发性心脏填塞。

IF 1.6 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques Pub Date : 2025-01-01 DOI:10.1111/echo.70068

Karina Del Valle Zamora, Jacobo Sebastián Vera-Chávez, Alberto Aranda-Fraustro, Marcos Abraham Duarte-Gutiérrez, Angélica Vargas-Guerrero, Gina Alejandra Altamirano-Solorzano, Hilda Eloisa Delgadillo-Rodríguez

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引用次数: 0

摘要

43岁女性，以呼吸困难和咳嗽表现，最初误诊为呼吸道合胞体病毒。持续的症状导致肺血栓栓塞治疗，但恶化的问题显示复发性心包积液。影像学和活检证实肺动脉内膜肉瘤，模拟血栓栓塞和自身免疫性疾病，强调诊断挑战。造影增强血管断层显示充盈缺陷提示肺血栓栓塞。超声心动图显示严重心包积液。t2加权MRI显示右侧两个非均匀肿块，另一个靠近左心房。活检证实肺动脉内膜肉瘤。

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Recurrent Cardiac Tamponade by Pulmonary Artery Intimal Sarcoma.

A 43-year-old woman presented with dyspnea and cough, initially misdiagnosed as respiratory syncytial virus. Persistent symptoms led to pulmonary thromboembolism treatment, but worsening issues revealed recurrent pericardial effusion. Imaging and biopsy confirmed pulmonary artery intimal sarcoma, mimicking thromboembolism, and autoimmune disease, underscoring diagnostic challenges. Contrast-enhanced angiotomography showing filling defects suggestive of pulmonary thromboembolism. Echocardiogram with severe pericardial effusion. T2-weighted MRI with two heterogeneous masses on the right side and another adjacent to the left atrium. Biopsy confirming pulmonary artery intimal sarcoma.

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来源期刊

Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques 医学-心血管系统

CiteScore

2.40

自引率

6.70%

发文量

211

审稿时长

3-6 weeks

期刊介绍： Echocardiography: A Journal of Cardiovascular Ultrasound and Allied Techniques is the official publication of the International Society of Cardiovascular Ultrasound. Widely recognized for its comprehensive peer-reviewed articles, case studies, original research, and reviews by international authors. Echocardiography keeps its readership of echocardiographers, ultrasound specialists, and cardiologists well informed of the latest developments in the field.