ACCURATE DIAGNOSIS OF METASTATIC CARDIAC LEIOMYOSARCOMA WITH INFUNDIBULAR STENOSIS AND CARDIAC TAMPONADE BY TRANSESOPHAGEAL ECHOCARDIOGRAPHY AND Gd-DTPA MAGNETIC RESONANCE IMAGING : Report of a Case

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We present a patient with metastatic cardiac leiomyosarcoma that was diagnosed antemortem by transesophageal echocardiography (TEE) and ECG-gated magnetic resonance imaging with gadolinium diethylene triaminepentaacetic acid (Gd-DTPA MRI). TEE and Gd-DTPA MRI clearly revealed the morphological characteristics of infundibular stenosis and cardiac tamponade. Our patient has survived about 30 months after cardiac surgery. Since sarcoma is usually associated with a very poor prognosis, surgical treatment should be performed as soon as possible. TEE with color Doppler imaging and Gd-DTPA MRI are very useful diagnostic methods for determining the precise anatomical characterization of cardiac tumor, and these procedures are prerequisite to precise therapy.
社団法人日本循環器学会の論文
1994-02-20