Pérez de Juan M A, Roldán D, Vicente T, Salvador Espinosa J, Huerta D, Esquivel-Avila J G
Departamento de Ecocardiografía, INC Ignacio Chávez.
Arch Inst Cardiol Mex. 1991 Jan-Feb;61(1):75-8.
We describe the case of a patient aged 64 with aortic valve disease and pericardial effusion. Echocardiographic evaluation showed an intrapericardial mass of about 7 cm of diameter with clotted appearance, adhered to the visceral leaf, at the level of the atrio-ventricular function. Because of this finding we performed color codified Doppler echocardiography, observing that this mass acquired a blue hue during diastole and mosaic hue at the end of the systole, realizing that this phenomenon was due to fluid retention. There are many publications about the value of echocardiography for the identification of pericardial masses and some of them show how an effusion can hide a tumor. The interest of this particular case lies in that the effusion simulated a tumor and by means of the color codified Doppler we could demonstrate that it corresponded to the stream of the pericardial fluid. During the surgical procedure the absence of the mass was corroborated.
我们描述了一名64岁患有主动脉瓣疾病和心包积液患者的病例。超声心动图评估显示心包内有一个直径约7厘米的肿块，外观呈凝块样，附着于心内膜叶，位于房室功能水平。基于这一发现，我们进行了彩色编码多普勒超声心动图检查，观察到该肿块在舒张期呈现蓝色，在收缩期末呈现镶嵌样颜色，意识到这种现象是由于液体潴留所致。关于超声心动图在识别心包肿块方面的价值有许多出版物，其中一些显示了积液如何掩盖肿瘤。这个特殊病例的有趣之处在于，积液模拟了肿瘤，通过彩色编码多普勒我们能够证明它对应于心包液的流动。在手术过程中，证实了肿块并不存在。
