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奥卡姆剃刀原理还是希卡姆格言:左心房黏液瘤切除术后的右心房肿块。

Ockham's razor or Hickam's dictum: a right atrial mass following excision of left atrial myxoma.

作者信息

Abramowitz Yigal, Perlman Gidon, Levy Eli, Beeri Ronen, Chajek-Shaul Tova, Leibowitz David

机构信息

Department of Internal Medicine, Hadassah-Hebrew University Medical Center, Mount Scopus, Jerusalem 91240, Israel.

出版信息

Eur J Echocardiogr. 2008 May;9(3):415-6. doi: 10.1093/ejechocard/jen023. Epub 2008 Mar 11.

Abstract

We report a case of a 54-year-old man presenting with a right atrial mass 7 months after undergoing a left atrial myxoma excision surgery. The differential diagnosis included recurrent myxoma or thrombus. The patient underwent repeat open sternotomy on cardiopulmonary bypass. Histopathological evaluation of the mass revealed an organizing thrombus. This report is, to our knowledge, the first that demonstrates right atrial thrombus shortly following excision of left atrial myxoma.

摘要

我们报告一例54岁男性患者,在接受左心房黏液瘤切除手术后7个月出现右心房肿块。鉴别诊断包括复发性黏液瘤或血栓。患者在体外循环下接受了再次开胸手术。对肿块的组织病理学评估显示为机化血栓。据我们所知,本报告是首例展示左心房黏液瘤切除术后短期内出现右心房血栓的病例。

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