Lisowska Anna, Skibińska Elzbieta, Galar Bogdan, Tomaszuk-Kazberuk Anna
Klinika Kardiologii AM, Białystok, Poland.
Kardiol Pol. 2003 Mar;58(3):221-3; discussion 223.
A case of a 51-year-old male with dilated cardiomyopathy and left atrial mass detected by echocardiography is described. Differential diagnosis between thrombus and myoxoma was difficult. Anticoagulation therapy was initiated and no intra-atrial mass was detected during the control echocardiographic examination. Thus, the diagnosis of intracardiac thrombus was established ex iuvantibus. Difficulties in the diagnosis and treatment of intracardiac masses are discussed.
本文描述了一例51岁男性患者,经超声心动图检查发现患有扩张型心肌病和左心房肿块。血栓与黏液瘤的鉴别诊断存在困难。开始进行抗凝治疗,在超声心动图复查期间未检测到心房内肿块。因此,根据现有情况确诊为心内血栓。文中还讨论了心内肿块的诊断和治疗难点。