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中华临床医师杂志(电子版) ›› 2022, Vol. 16 ›› Issue (02) : 193 -196. doi: 10.3877/cma.j.issn.1674-0785.2022.02.016

病例报告

孤立型心脏结节病一例并文献复习
刘立旻1, 郑黎晖1, 张涛1, 黄洁2, 樊晓寒1, 姚焰1,()   
  1. 1. 100037 北京,中国医学科学院阜外医院心律失常一病区
    2. 100037 北京,中国医学科学院阜外医院心力衰竭和移植病区
  • 收稿日期:2021-07-06 出版日期:2022-02-15
  • 通信作者: 姚焰
  • 基金资助:
    国家自然科学青年基金项目(82000323)

Isolated cardiac sarcoidosis: a case report and literature review

Limin Liu1, Lihui Zheng1, Tao Zhang1   

  • Received:2021-07-06 Published:2022-02-15
引用本文:

刘立旻, 郑黎晖, 张涛, 黄洁, 樊晓寒, 姚焰. 孤立型心脏结节病一例并文献复习[J]. 中华临床医师杂志(电子版), 2022, 16(02): 193-196.

Limin Liu, Lihui Zheng, Tao Zhang. Isolated cardiac sarcoidosis: a case report and literature review[J]. Chinese Journal of Clinicians(Electronic Edition), 2022, 16(02): 193-196.

图1 超声心动图图a为右心比例增大;图b为室间隔右室面及右室壁增厚,局部呈结节样改变;图c为卵圆孔未闭;图d为斑点追踪聚焦于右室,右室壁运动减低
图2 心脏核磁共振。图a为右房右室增大,房间隔及室间隔局部呈结节状增厚;图b为室间隔厚度不均,室间隔右室面、右室游离壁及右室下壁局部呈结节状,凸向右室腔;图c为右室流出道毗邻前间隔处呈结节状增厚,并凸入右室流出道;图d为位于室间隔右室面的结节状增厚区,在T2压脂序列上为高信号;图e、f为室间隔右室面、右室游离壁及右室下壁结节状增厚区,钆延迟增强扫描呈均匀明显强化注:红色箭头为心室壁内结节状增厚区
图3 胸腹盆CT平扫。图a为胸部CT平扫;图b为腹盆腔CT平扫
图4 肺动脉、主动脉及冠状动脉CTA。图a为肺动脉CTA;图b为主动脉CTA;图c~g为冠状动脉CTA注:红色箭头为心室壁内结节状增厚区;CTA为计算机体层血管成像
图5 心脏氟脱氧葡萄糖正电子发射断层成像。图a、b为心室壁内结节状放射性摄取增高灶;图c、d为全身扫描未见心脏外其他脏器组织放射性异常摄取注:红色箭头为心室壁内结节状放射性摄取增高灶
图6 右室间隔心内膜下心肌活检病理HE染色。图a为心肌内炎细胞浸润及多核巨细胞;图b为心肌上皮样细胞肉芽肿结节
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