【作者】 褚亚栋；

【导师】 倪一鸣；

【作者基本信息】 浙江大学 ， 心胸外科学（专业学位）， 2013， 博士

【摘要】 心脏血管瘤是一种非常少见的良性心脏肿瘤,只占原发性心脏肿瘤的2.8%。肿瘤位置的不同导致其临床症状多样化甚至无任何临床症状。由于其罕见性,且临床症状、影像表现、位置等多变,使得诊断较为困难。解剖上讲,血管瘤可以位于心脏任何位置,但仍以室间隔及右心房较为多见。这里介绍两个心脏海绵状血管瘤病例,分别位于房间沟及右房室交界区。两位病人均在我院接受心脏血管瘤切除手术,手术在建立体外循环且心脏停跳下进行。房间沟血管瘤病人术后1年半随访,日常生活无明显症状及阳性体征,心超未发现复发迹象；房室交界区血管瘤病人术后2年随访,日常生活无明显症状及阳性体征,心超未发现复发迹象。更多还原

【Abstract】 Cardiac hemangioma is an extremely rare benign cardiac tumor and only take over2.8%of primary cardiac tumors. Cardiac hemangioma could lead to various symptoms or show as asymptomatic because of its variable localization. The rarity, the variable of clinical symptom, imaging performance and localization all contribute to the difficulty of making the diagnosis of cardiac hemangioma. Cardiac hemangioma could locate any part of the heart, with predominance of ventricular septum and right atrium. Here we describe two cases of cardiac cavernous hemangioma with the locations of the interatrial groove and right atrioventricular junction, respectively. Both patients accepted cardiac surgery to remove the mass under cardiopulmonary bypass and cardiac arrest. The patient with cardiac hemangioma in interatrial groove remained asymptomatic and had no positive sign one and a half years after surgery. Echocardiography showed no recurrence. The patient with cardiac hemangioma in right atrioventricular junction remained asymptomatic and had no positive sign two years after surgery. Echocardiography showed no recurrence.更多还原