Hallward G, Valchanov K
Papworth Hospital, Cambridge, UK.
Eur J Echocardiogr. 2010 Jan;11(1):89-90. doi: 10.1093/ejechocard/jep162. Epub 2009 Nov 24.
This is a case report of a patient presenting with breathlessness who was thought to have suspected systemic lupus erythematosus, but was actually diagnosed with an atrial myxoma. It shows how cardiac pathology can be easily misdiagnosed as suspected pulmonary pathology and serves as a reminder to clinicians when investigating a patient with breathlessness. It also raises the question as to which patients should undergo routine pre-operative echocardiography before thoracic surgery.
这是一例以呼吸困难为表现的病例报告，该患者最初被怀疑患有系统性红斑狼疮，但实际上被诊断为心房黏液瘤。它展示了心脏病理学如何容易被误诊为疑似肺部病理学，同时也提醒临床医生在对呼吸困难患者进行检查时要注意这一点。它还提出了一个问题，即哪些患者在胸外科手术前应接受常规术前超声心动图检查。
