Division of Cardiology and Heart Transplant, Toronto General Hospital, Toronto, Ontario, Canada.
Am J Transplant. 2012 Aug;12(8):2237-41. doi: 10.1111/j.1600-6143.2012.04129.x. Epub 2012 Jun 8.
Atrial masses postcardiac transplant are not well reported and their diagnosis and treatment can be challenging. In the asymptomatic patient, differentiating thrombus from cardiac tumor can sometimes be difficult and the use of multiple imaging modalities is recommended. Accurate diagnosis is imperative to inform a treatment plan that balances the benefits and risks of a medical versus surgical approach. We present three cases of atrial masses postcardiac transplant to illustrate this clinical dilemma.
心脏移植后心房肿块的报道并不多见，其诊断和治疗具有一定挑战性。对于无症状患者，有时区分血栓和心脏肿瘤较为困难，建议使用多种影像学方法。准确的诊断对于制定治疗计划至关重要，该计划需要平衡药物治疗和手术治疗的获益与风险。我们介绍了 3 例心脏移植后心房肿块的病例，以阐明这一临床难题。
