Kautzner J, Kozáková M, Bĕlohlávek M, Tosovský J, Lichtenberg J
II. interní klinika 1. lékarske fakulty Univerzity Karlovy, Praha.
Cas Lek Cesk. 1991 Mar 15;130(11):345-7.
Two-dimensional echocardiography is due to the detailed visualization of the right atrium and adjacent structures an indispensible non-invasive method for the detection pathological masses. In the differential diagnosis of these masses most frequently a mobile thrombus and myxoma are involved. The authors are presenting the case-history of a 71-year-old female patient where during hospitalization on account of a suspect non-Q-wave myocardial infarction in an anteroseptal position echocardiography revealed a pathological mass in the right atrium. From the case-history and results of examinations it was not possible to evaluate unequivocally the nature of the revealed mass. In view of the considerable risk of embolization into the pulmonary artery and coinciding ischaemic heart disease the patient was indicated for surgery and a mobile thrombus was removed. The described case draws attention to the differential diagnosis of right atrial masses and the optimal therapeutic approach.
二维超声心动图能够详细显示右心房及其相邻结构，是检测病理性肿块不可或缺的无创方法。在这些肿块的鉴别诊断中，最常见的是移动性血栓和黏液瘤。作者报告了一名71岁女性患者的病例。该患者因疑似前间隔非Q波心肌梗死住院期间，超声心动图显示右心房有一个病理性肿块。根据病例记录和检查结果，无法明确评估所发现肿块的性质。鉴于存在肺动脉栓塞的高风险以及并存的缺血性心脏病，该患者被建议进行手术，术中切除了一个移动性血栓。该病例提请注意右心房肿块的鉴别诊断及最佳治疗方法。
