Yamagishi Toshiharu, Sakata Kazuhiro
Department of Cardiovascular Surgery, National Hospital Organization, Takasaki National Hospital, 36 Takamatsu-cho, Takasaki, Gunma, 370-0829, Japan.
Surg Today. 2007;37(6):489-92. doi: 10.1007/s00595-006-3428-x. Epub 2007 May 28.
We report the case of a 49-year-old woman with a large organized tricuspid valve thrombus in a structurally normal heart. Preoperative echocardiogram showed a large irregular-shaped mass, approximately 5 cm in diameter, moving from the right atrium into the right ventricle. The assumed preoperative diagnosis was cardiac metastasis of uterine sarcoma because she had undergone surgery for uterine sarcoma 15 years earlier. However, histologic examination revealed an organized thrombus without tumor components.
我们报告了一例49岁女性病例，其心脏结构正常，但存在一个巨大的机化三尖瓣血栓。术前超声心动图显示一个直径约5厘米的巨大不规则形肿块，从右心房移入右心室。术前推测诊断为子宫肉瘤的心脏转移，因为她15年前曾接受过子宫肉瘤手术。然而，组织学检查显示为机化血栓，无肿瘤成分。
