伪装成左心房黏液瘤的心脏韦格纳肉芽肿病。

Cardiac Wegener's granulomatosis masquerading as left atrial myxoma.

作者信息

Herbst Anne, Padilla Mary T, Prasad Anil R, Morales Monty C, Copeland Jack G

机构信息

University of Ulm, Ulm, Germany.

出版信息

Ann Thorac Surg. 2003 Apr;75(4):1321-3. doi: 10.1016/s0003-4975(02)04662-3.

DOI:10.1016/s0003-4975(02)04662-3

PMID:12683590

Abstract

A 56-year-old woman was referred with mitral regurgitation, left ventricular dysfunction, and a sessile mass on the anterior leaflet of her mitral valve. The initial impression from echocardiography was that she had a left atrial myxoma. At operation, we found an intense inflammatory process diagnosed as Wegener's granulomatosis. It also involved the aortic valve and contiguous myocardium.

摘要

一名56岁女性因二尖瓣反流、左心室功能障碍以及二尖瓣前叶上的一个无蒂肿块前来就诊。超声心动图的初步印象是她患有左心房黏液瘤。手术时，我们发现了一个严重的炎症过程，诊断为韦格纳肉芽肿。它还累及主动脉瓣和相邻心肌。