Cattaneo Paolo, Mariscalco Giovanni, Blanzola Claudio, Chelazzi Paolo, Faeli Mehran, Sala Andrea
Cattedra di Cardiochirurgia, Università degli Studi dell'Insubria, Ospedale di Circolo e Fondazione Macchi, Varese.
Ital Heart J Suppl. 2003 Jan;4(1):54-7.
This report describes the case of a 39-year-old man, admitted for the occasional finding of left ventricular, irregular and pedicled mass. Because of the elevated risk of thromboembolism, cardiac surgery was performed with complete removal of the mass. Histologic examination showed it to be composed entirely of thrombotic material. Additional laboratory data revealed the simultaneous presence of two thrombophilic disorders: antiphospholipid syndrome and hyperhomocysteinemia. Screening laboratory evaluation for hypercoagulable states is recommended in similar cases.
本报告描述了一名39岁男性的病例,该患者因偶然发现左心室有不规则带蒂肿块而入院。由于血栓栓塞风险升高,遂进行心脏手术,完整切除了肿块。组织学检查显示其完全由血栓物质组成。其他实验室数据显示同时存在两种易栓症:抗磷脂综合征和高同型半胱氨酸血症。对于类似病例,建议进行高凝状态的筛查实验室评估。