Department of Cardiology, The Essex Cardiothoracic Centre, Basildon, United Kingdom.
Can J Cardiol. 2013 Oct;29(10):1329.e13-1329.e15. doi: 10.1016/j.cjca.2012.05.019. Epub 2012 Aug 17.
This is a case of a persistent mobile mass in the left atrial appendage in which 3-dimensional transesophageal echocardiography provided excellent definition of the contour of the mass and helped in comparison during follow-up. The mass was incidentally found before atrial fibrillation ablation and initially thought to be a thrombus. As it persisted almost unchanged despite adequate anticoagulation, a tumour such as a fibroelastoma became the leading possibility, presenting us with a management dilemma. Ablation was cancelled, and, because the mass was stable with no embolic sequelae, a conservative approach was adopted. The patient was discharged on long-term anticoagulation.
这是一个持续性左心耳移动性肿块的病例，其中 3 维经食管超声心动图提供了肿块轮廓的极好定义，并有助于随访时的比较。该肿块是在房颤消融前偶然发现的，最初被认为是血栓。由于尽管进行了充分的抗凝治疗，肿块仍几乎没有变化，因此纤维弹性瘤等肿瘤成为主要的可能性，给我们带来了管理上的困境。消融被取消，由于肿块稳定且没有栓塞后遗症，因此采取了保守治疗方法。患者出院后长期接受抗凝治疗。
