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房间隔脂肪性肥厚

[Lipomatous hypertrophy of the interatrial septum].

作者信息

Südfeld F, Saul F, Hufnagel B, Steeg M, Frenzel H, Lösse B

机构信息

Städtische Kliniken Dortmund Medizinische Klinik Mitte Abteilung für Kardiologie und Nephrologie.

出版信息

Z Kardiol. 2000 Jul;89(7):587-91. doi: 10.1007/s003920070207.

Abstract

The echocardiographic examination of a female, overweight patient, 71 years of age, with left-sided breast cancer, performed in another hospital, revealed a tumor of the interatrial septum of 3.2 x 4.0 cm. The patient was transferred to our clinic and the finding was identified as a lipomatous hypertrophy of the interatrial septum by echocardiography, computer tomography and nuclear magnetic resonance imaging. It was confirmed by biopsy and histological examination. The lipomatous hypertrophy of the interatrial septum is a rare, benign disease, which usually does not cause a hemodynamic significant obstruction of the blood flow. An increased incidence of atrial arrhythmias is known to occur in this condition and seems to be the only functional restriction.

摘要

一名71岁的超重女性患者,患有左侧乳腺癌,在另一家医院进行的超声心动图检查显示房间隔有一个3.2×4.0厘米的肿瘤。该患者被转诊至我们的诊所,经超声心动图、计算机断层扫描和核磁共振成像检查,该发现被确认为房间隔脂肪瘤样肥厚。活检和组织学检查证实了这一诊断。房间隔脂肪瘤样肥厚是一种罕见的良性疾病,通常不会引起血流动力学上的显著血流梗阻。已知在这种情况下房性心律失常的发生率会增加,这似乎是唯一的功能限制。

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