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局限性心包血肿模拟右心房肿块导致心脏压塞。

Cardiac tamponade produced by a loculated pericardial hematoma simulating a right atrial mass.

作者信息

Pepi M, Doria E, Fiorentini C

机构信息

Istituto di Cardiologia dell'Università degli Studi, Istituto Ricerche Cardiovascolari G. Sisini, Fondazione I. Monzino, Centro Ricerche Cardiovascolari del C.N.R., Milan, Italy.

出版信息

Int J Cardiol. 1990 Dec;29(3):383-6. doi: 10.1016/0167-5273(90)90130-w.

DOI:10.1016/0167-5273(90)90130-w
PMID:2283197
Abstract

We report a case of cardiac tamponade due to thrombosis of a loculated pericardial effusion which occurred after open heart surgery. The loculated hematoma was highly echogenic and mimicked a right atrial mass. Cross-sectional echocardiography, in association with color Doppler flow imaging, was extremely useful in identifying this rare complication of cardiac surgery and, therefore, in determining the subsequent surgical approach.

摘要

我们报告一例心脏直视手术后因局限性心包积液血栓形成导致心脏压塞的病例。局限性血肿回声增强,类似右心房肿块。横断面超声心动图联合彩色多普勒血流成像对于识别这种心脏手术的罕见并发症非常有用,因此对于确定后续手术方案也很有帮助。

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引用本文的文献

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Isolated right atrial compression as a late sequela of aortic valve replacement.孤立性右心房受压作为主动脉瓣置换术的晚期后遗症。
Tex Heart Inst J. 1994;21(3):225-7.
2
Pericardial effusion after cardiac surgery: incidence, site, size, and haemodynamic consequences.心脏手术后的心包积液:发生率、部位、大小及血流动力学后果。
Br Heart J. 1994 Oct;72(4):327-31. doi: 10.1136/hrt.72.4.327.