Heitner John F, Klem Igor, Alexander Karen, Thomson Louise, Meine Trip J, Patel Manesh R, Haq Salman A, Shah Dipan J, Kim Raymond J
Division of Cardiology, New York Methodist Hospital, Brooklyn, NY 11215, USA.
J Cardiovasc Magn Reson. 2005;7(5):841-3. doi: 10.1080/10976640500288156.
We present a case demonstrating the utility of cardiovascular magnetic resonance (CMR) in the diagnosis of a cardiac mass. A 70-year-old female who presented with chest pressure and left sided jaw pain was found to have a cardiac mass on transthoracic and transesophageal echocardiography that was diagnosed as an atrial myxoma. A cardiac magnetic resonance test determined the mass to be more consistent with a thrombus than a myxoma through a stepwise approach using multiple pulse sequences. Thus, unwarranted and potentially risky thoracic surgery was avoided by the incorporation of a systematic evaluation by cardiac MRI.
我们报告一例病例，展示了心血管磁共振成像（CMR）在诊断心脏肿物中的应用价值。一名70岁女性因胸痛和左侧颌部疼痛就诊，经胸和经食管超声心动图检查发现心脏有肿物，诊断为心房黏液瘤。心脏磁共振检查通过使用多个脉冲序列的逐步方法确定该肿物更符合血栓而非黏液瘤。因此，通过心脏MRI的系统评估避免了不必要且有潜在风险的胸外科手术。
