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一名老年患者出现心力衰竭的左心室脂肪瘤:首例病例报告。

A left ventricular lipoma presenting as heart failure in a septuagenarian: a first case report.

作者信息

Akram Kamran, Hill Clark, Neelagaru Narasimhulu, Parker Miriam

出版信息

Int J Cardiol. 2007 Jan 18;114(3):386-7. doi: 10.1016/j.ijcard.2005.11.083. Epub 2006 Apr 19.

Abstract

A 78-year-old Caucasian female presented as an outpatient with a 6-month history of severe progressive exertional dyspnea interfering with ambulating at home. Physical Exam revealed signs of heart failure with laboratory studies being normal. A subsequent echocardiogram revealed a mass in the left ventricle and the patient underwent successful resection of the mass with complete resolution of her symptoms. Histologic examination was consistent with a benign lipoma. After a comprehensive PubMed literature, we believe to report the first case of a left ventricular lipoma diagnosed and treated in the eighth decade of life.

摘要

一名78岁的白种女性门诊就诊,有6个月严重进行性劳力性呼吸困难病史,在家中行走也受到影响。体格检查发现心力衰竭体征,但实验室检查正常。随后的超声心动图显示左心室有一个肿块,患者成功切除肿块,症状完全缓解。组织学检查结果符合良性脂肪瘤。经过全面检索PubMed文献后,我们认为这是首次报道在80岁时诊断并治疗的左心室脂肪瘤病例。

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