妊娠合并原发性心脏血管肉瘤伴卵巢转移成功分娩1例  

Successful delivery in a pregnancy complicated by primary cardiac angiosarcoma with ovarian metastasis:a case report

作　　者：毛星宇 彭晞[1] 宋亭[1] 黄健威[1] Mao Xingyu;Peng Xi;Song Ting;Huang Jianwei(Department of Radiology,the Third Affiliated Hospital of Guangzhou Medical University(Guangdong Provincial Key Laboratory of Major Obstetric Diseases,Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology),Guangzhou510150,China)

机构地区：[1]广州医科大学附属第三医院(广东省产科重大疾病重点实验室,广东省妇产疾病临床医学研究中心)放射科,广州510150

出　　处：《中华围产医学杂志》2024年第11期956-958,共3页Chinese Journal of Perinatal Medicine

摘　　要：本文报道1例右心房血管肉瘤伴卵巢转移并成功分娩的病例。孕妇孕31周出现呼吸困难、腰疼伴恶心呕吐,外院超声心动图提示右心房内低回声团。于2023年12月12日(孕32周)转至广州医科大学附属第三医院。入院心脏超声见右心房内不规则稍高回声团,MRI提示右心房内恶性肿瘤。入院当日行心脏切开探查术和剖宫产术,术中发现左侧卵巢增大,术后病理证实原发性右心房血管肉瘤并左侧卵巢转移。患者术后转重症监护病房继续治疗,病情好转后(术后11 d)家属要求出院。剖宫产娩出一男婴,出生时无哭泣,呼吸弱,转新生儿科予气管插管后接球囊正压通气,生后25 d出院。出院后病例失访。This article reported a case of successful delivery in a woman with right atrial angiosarcoma and ovarian metastasis.At 31 weeks of gestation,the pregnant woman experienced dyspnea,osphyalgia,nausea,and vomiting.An echocardiogram performed at a local hospital indicated a hypoechoic mass in the right atrium.On December 12,2023(32 weeks of gestation),she was transferred to the Third Affiliated Hospital of Guangzhou Medical University.On admission,cardiac ultrasound suggested an irregular slightly high echo in the right atrium,and MRI indicated a malignant tumor.On the day of admission,the patient underwent cardiac exploratory surgery and cesarean section.An enlarged left ovary was found during the surgery,and postoperative pathology confirmed primary right atrial angiosarcoma with left ovarian metastasis.The patient was transferred to the intensive care unit for further treatment.At the request of her family,she was discharged after her condition improved(11 d after the surgery).A male infant who had shallow breathing but did not cry at birth was delivered via cesarean section.He was transferred to the neonatal department for intubation and positive pressure ventilation with a resuscitation bag and was discharged 25 d after birth.The patient was lost to follow-up after discharge.

关 键 词：血管肉瘤 心脏肿瘤 磁共振 卵巢 

分 类 号：R714.2[医药卫生—妇产科学] R732.1[医药卫生—临床医学]