Gully C, Benghanem M M, Remadi J P, Le Douarin L, Baron O, Heymann M F
Service de cardiologie, centre hospitalier départemental, La Roche-sur-Yon.
Arch Mal Coeur Vaiss. 2000 Feb;93(2):189-93.
Right atrial varices are rare. They were described for the first time by anatomo-pathologists at the end of the 19th century and beginning of the 20th century. They are situated in the lower part of the inter-atrial septum and rarely exceed 2 cm in diameter. Descriptions have been from post-mortem studies which have led to epidemiological analyses and have given rise to nosological controversies. The authors report a case characterised by the exceptional volume of the varices. This could have enabled the diagnosis to be suspected at transoesophageal echocardiography before surgery. Thoracic CT scan and MRI completed the iconography. In the literature, two other cases of cardiac varices diagnosed at echocardiography have been published: they were small tumours on the lower part of the interatrial septum and the diagnosis before surgery was that of a myxoma. These formations seem to correspond to chance findings and do not appear to give rise to symptoms.
右心房静脉曲张罕见。19世纪末至20世纪初,解剖病理学家首次对其进行了描述。它们位于房间隔下部,直径很少超过2厘米。相关描述来自尸检研究,这些研究促成了流行病学分析,并引发了疾病分类学上的争议。作者报告了一例静脉曲张体积异常大的病例。这可能使得在手术前经食管超声心动图检查时就怀疑到该诊断。胸部CT扫描和MRI完善了影像学检查。在文献中,已发表了另外两例经超声心动图诊断为心脏静脉曲张的病例:它们是房间隔下部的小肿瘤,手术前诊断为黏液瘤。这些结构似乎属于偶然发现,似乎不会引起症状。