Case Report
Copyright ©The Author(s) 2020.
World J Clin Cases. Nov 26, 2020; 8(22): 5707-5714
Published online Nov 26, 2020. doi: 10.12998/wjcc.v8.i22.5707
Table 1 Timeline
Timeline of the patient
Initial presentationPresented with the chief complaint of recently recurrent chest pain
Day 1Echocardiography revealed an intracardiac mass in the right atrioventricular groove, wrapped around the proximal segment of the right coronary artery
Day 2Coronary artery computed tomography showed that abnormal blood vessels were presented between the right atrium and right ventricle
Day 5Coronary angiography showed that there were abundant blood vessels that were wrapped around and supplied the intracardiac mass in the right atrioventricular groove
Day 6Positron emission tomography/computed tomography suggested that the intracardiac mass was a malignant tumor
Day 8The level of normetanephrine in the blood was obviously increased
Day 18Open heart surgery was performed, and the intracardiac mass was completely excised. Quick freezing pathology indicated that the intracardiac mass was a mesenchymal malignant tumor
Day 25The final pathology results demonstrated that the intracardiac mass was a cardiac paraganglioma
Day 26The combination of pathological and immunohistochemistry results demonstrated bilateral carotid masses, these bilateral carotid masses were also paragangliomas
Day 27Discharged from hospital
Day 83At the 3-mo follow-up, the patient did not have recurrent chest pain