Nijmeh George, Tatooles Antone, Zelinger Allan
Advocate Christ Medical Center, Heart and Vascular Institute, Oak Lawn, IL, USA.
Echocardiography. 2013 Feb;30(2):E44-6. doi: 10.1111/echo.12032. Epub 2012 Nov 21.
A 31-year-old female presented with right-sided stroke symptoms. She was found to have a left ventricular (LV) mass on transthoracic echocardiogram. Subsequent transesophageal echocardiogram (TEE) with concurrent three-dimensional (3D) imaging revealed a 2-cm mobile mass, suspicious for a myxoma, attached to the anteroseptal LV wall. Given the size and location of the mass seen on the 3D images, the cardiothoracic surgeons chose to avoid resection via aortotomy or ventriculotomy and instead performed video-assisted cardioscopic resection of the LV mass via left atriotomy. The mass was successfully removed, and pathology confirmed that it was a myxoma.
一名31岁女性出现右侧中风症状。经胸超声心动图检查发现她左心室有肿物。随后的经食管超声心动图（TEE）及同步三维（3D）成像显示一个2厘米的可移动肿物，怀疑是黏液瘤，附着于左心室前间隔壁。鉴于3D图像上所见肿物的大小和位置，心胸外科医生选择避免通过主动脉切开术或心室切开术进行切除，而是经左心房切开术进行电视辅助心脏镜下切除左心室肿物。肿物被成功切除，病理证实为黏液瘤。
