Patrianakos Alexandros P, Parthenakis Frangiskos I, Nyktari Eva, Kochiadakis George E, Koutsopoulos Anastasios V, Vardas Panos E
Department of Cardiology, Heraklion University Hospital, PO Box 1352 Stavrakia, Heraklion, Crete, Greece.
Eur J Echocardiogr. 2008 May;9(3):422-3. doi: 10.1093/ejechocard/jen028. Epub 2008 Mar 15.
A 67-year-old asymptomatic male was admitted for evaluation of his arterial hypertension. The routine echocardiographic study revealed a large tumour in the dilated right atrium. The mass appeared to arise from the posterior wall of the right atrium. After infusion of a contrast agent, the mass appeared to fill with the contrast agent, ruling out the possibility of the mass being a clot. Transesophageal study revealed a round mass arising from the posterior right atrial wall just adjacent to the extrusion of the superior vena cava. The patient subsequently underwent cardiac surgery and a cardiac tumour was excised that proved to be a cardiac myxoma. In this case we present echocardiographic images and the macro- and microscopic view of the right atrial myxoma.
一名67岁无症状男性因评估动脉高血压入院。常规超声心动图检查发现扩张的右心房有一个大肿瘤。肿块似乎起源于右心房后壁。注入造影剂后,肿块似乎充满了造影剂,排除了肿块是血栓的可能性。经食管检查发现一个圆形肿块起源于右心房后壁,紧邻上腔静脉出口处。患者随后接受了心脏手术,切除了一个心脏肿瘤,病理证实为心脏黏液瘤。在本病例中,我们展示了右心房黏液瘤的超声心动图图像以及大体和显微镜下观。