Intrapericardial paraganglioma with intratumoral coronary arterial aneurysm and an arteriovenous fistula.
The authors present the case of a 55-year-old woman with a nonfunctioning intrapericardial paraganglioma. The tumor was incidentally found during transthoracic echocardiography that was performed because an enlarged cardiac silhouette had been noted on a chest x-ray. Transesophageal echocardiography further elucidated that the left circumflex coronary artery branched and traversed into the intrapericardial mass. Coronary angiography and cardiac multislice computed tomography both confirmed the presence of a vascular intrapericardial mass being fed by the obtuse marginal artery. Moreover, an arterial aneurysmal formation and a coronary arteriovenous fistula were noted within the tumor. After "en bloc" tumor resection, histopathologic and electron microscopic examinations established the diagnosis of a nonfunctioning intrapericardial paraganglioma.
Lee
Chih-Chia
CC
Department of Radiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, College of Medicine, Kaohsiung Hsien, Taiwan.
Chua
Sarah
S
Huang
Shun-Chen
SC
Lee
Fan-Yen
FY
Chung
Sheng-Ying
SY
D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging* / Q000209:etiology*; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging* / Q000209:etiology*; D005260:Female; D006338:Heart Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging*; D006801:Humans; D008875:Middle Aged; D010235:Paraganglioma / Q000150:complications* / Q000000981:diagnostic imaging*; D014463:Ultrasonography