Turhan Sibel, Kilickap Mustafa, Candemir Basar, Berkalp Berkten, Eren Neyyir Tuncay, Akgun Gunes
Department of Cardiology, Ankara University, School of Medicine, Ankara, Turkey.
J Am Soc Echocardiogr. 2005 Jun;18(6):694. doi: 10.1016/j.echo.2004.08.011.
Most left atrial appendage masses have been reported to be thrombus, particularly in the presence of atrial fibrillation. The presence of any mass other than thrombus is extremely rare in the left atrial appendage. This report presents the rare case of a 70-year-old woman presenting with paroxysmal atrial fibrillation and syncope who was given the diagnosis of having 3 myxomas originating from the left atrial appendage. The diagnosis was established by the help of transesophageal echocardiography and confirmed by histologic examination after operation. The advantage of transesophageal echocardiography in this case and for patients with atrial fibrillation is emphasized.
据报道,大多数左心耳肿块为血栓,尤其是在存在心房颤动的情况下。左心耳中出现血栓以外的任何肿块极为罕见。本报告介绍了一例罕见病例,一名70岁女性,表现为阵发性心房颤动和晕厥,被诊断为起源于左心耳的3个黏液瘤。诊断通过经食管超声心动图得以确立,并在术后经组织学检查得以证实。强调了经食管超声心动图在该病例及心房颤动患者中的优势。