房间隔缺损初次修复术后右心房肿物：伪装成黏液瘤的血栓
Right atrial mass after primary repair of an atrial septal defect: thrombus masquerading as a myxoma.
作者信息
Sheikh Ahmad Y, Schrepfer Sonja, Stein William, West Joan, Lombard Jane, Burdon Tom, Pinsker Bob, Pelletier Marc P
机构信息
Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California 94305, USA.
出版信息
Ann Thorac Surg. 2007 Nov;84(5):1742-4. doi: 10.1016/j.athoracsur.2007.05.065.
Atrial septal defects are among the most common congenital anomalies requiring surgical repair. Thrombus formation after patch-based repair is a recognized complication, usually manifested by an embolic event. However, thromboembolic complications after primary repair of atrial septal defects are exceedingly rare. We present a 38-year-old woman found to have a right atrial mass diagnosed as a myxoma by echocardiography and magnetic resonance imaging 3 years after primary atrial septal defect repair. However, final pathology revealed an organized thrombus. A review of the literature and clinical management of postoperative atrial thrombi are discussed.
房间隔缺损是最常见的需要手术修复的先天性异常之一。基于补片修复后的血栓形成是一种公认的并发症，通常表现为栓塞事件。然而，房间隔缺损初次修复后的血栓栓塞并发症极为罕见。我们报告一名38岁女性，在房间隔缺损初次修复3年后，经超声心动图和磁共振成像检查发现右心房有一肿块，诊断为黏液瘤。然而，最终病理显示为机化血栓。本文讨论了术后心房血栓的文献复习及临床处理。
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