肺上皮样血管内皮瘤致肺动脉、冠状动脉压迫1例。

IF 0.7 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Heart Surgery Forum Pub Date : 2023-02-28 DOI:10.1532/hsf.5191

Haihong Zhang, Qin Luo, Nan Xie, Liqun Zou

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引用次数: 1

摘要

一名63岁女性，有5个月的肺上皮样血管内皮瘤(PEH)病史，因呼吸困难和胸痛加重而就诊于急诊室。心电图显示I型导联st段抬高，AVL和较差的r波进展与前外侧缺血一致。急诊冠状动脉造影显示左冠状动脉主干严重狭窄。然后，增强计算机断层扫描显示右肺动脉和左冠状动脉主动脉狭窄，压迫转移性PEH。最后，患者死于严重的多器官衰竭。

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Compression of the Pulmonary Artery and Coronary Artery Caused by Pulmonary Epithelioid Hemangioendothelioma: A Case Report.

A 63-year-old woman with a five-month history of pulmonary epithelioid hemangioendothelioma (PEH) presented to the emergency department, due to worsening dyspnea and chest pain. The electrocardiography showed a pattern of ST-segment elevation in leads I, AVL, and poor R-wave progression consistent with anterolateral ischemia. Emergent coronary angiography revealed severe stenosis of the left main coronary artery. Then, contrast-enhanced computed tomography scan indicated the right pulmonary artery and left main coronary artery narrowing by compression of metastasized PEH. Finally, the patient died of deteriorated multi-organ failure.

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来源期刊

Heart Surgery Forum 医学-外科

CiteScore

1.20

自引率

16.70%

发文量

130

审稿时长

6-12 weeks

期刊介绍： The Heart Surgery Forum® is an international peer-reviewed, open access journal seeking original investigative and clinical work on any subject germane to the science or practice of modern cardiac care. The HSF publishes original scientific reports, collective reviews, case reports, editorials, and letters to the editor. New manuscripts are reviewed by reviewers for originality, content, relevancy and adherence to scientific principles in a double-blind process. The HSF features a streamlined submission and peer review process with an anticipated completion time of 30 to 60 days from the date of receipt of the original manuscript. Authors are encouraged to submit full color images and video that will be included in the web version of the journal at no charge.