作者报告一例心脏类肉瘤发展至明显心衰后仍存活12年,是迄今所报告生存时间最长者。文献中记载患者最长生存时间是9年。常见征候是心力衰竭、室性心律失常和心脏传导阻滞。亦可出现胸痛或心肌梗塞样心电图改变。而心绞痛和心瓣膜受累甚为罕见。本文报告病例,在生存时间之长、具有心绞痛样胸痛、弥漫性冠状动脉病变和主动脉瓣 The authors report that a case of cardiac sarcoidosis that has developed to a significant heart failure for 12 years and is by far the longest reported to have survived. Literature records the longest survival time of patients is 9 years. Common signs are heart failure, ventricular arrhythmias and heart block. Chest pain or myocardial infarction-like electrocardiogram changes can also occur. Angina pectoris and heart valve involvement is rare. This article reports cases, long survival time, with angina-like chest pain, diffuse coronary artery disease and aortic valve