Bandorski D, Hönscher R, Ibing R, Rieker W
Medizinische Klinik II, Klinikum Fulda.
Internist (Berl). 2004 Sep;45(9):1047-52. doi: 10.1007/s00108-004-1251-2.
A 77-year-old female presented with a suspected cardiac tumor and thrombosis of both legs diagnosed by phlebography with pulmonary embolism of both sides. In transthoracic echocardiography, transesophageal echocardiography, and CT no intracardial tumor was seen. There was a hiatal hernia which compressed the left atrium from outside. As echocardiographic criteria of hiatal hernia described by D'Cruz we found the left atrium filled with a solid mass and variation of compression of the left atrium depending on breathing. Because of the low incidence of cardiac tumors, differential diagnosis should be done if a cardiac tumor is suspected. A hiatal hernia should always be taken into consideration.
一名77岁女性因疑似心脏肿瘤及双腿血栓形成就诊，经静脉造影诊断为双侧肺栓塞。经胸超声心动图、经食管超声心动图及CT检查均未发现心内肿瘤。发现有食管裂孔疝，从外部压迫左心房。根据D'Cruz描述的食管裂孔疝的超声心动图标准，我们发现左心房内充满实性肿块，且左心房受压程度随呼吸而变化。由于心脏肿瘤发病率低，若怀疑心脏肿瘤应进行鉴别诊断。食管裂孔疝应始终予以考虑。
