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[酷似二尖瓣狭窄的左心房血栓]

[Left atrial thrombus simulating mitral stenosis].

作者信息

Wolfovitz E, Keidar S, Grenadir E, Brook J G

机构信息

Dept. of Medicine D, Rambam Medical Center, Haifa.

出版信息

Harefuah. 1990 Mar 1;118(5):257-8.

PMID:2344981
Abstract

The most common etiology of atrial mass, a rare disorder, is thrombosis. However, tumors, vegetations and fibrosis may also be responsible. Today, 2-dimensional echocardiography is the primary imaging technique for screening patients with a suspected cardiac mass. We describe a 66-year-old woman with chronic atrial fibrillation who was being treated with an anticoagulant for a year. A left atrial thrombus, which produced signs simulating those of mitral stenosis became dislodged and obstructed the abdominal aorta and superior mesenteric artery. She did not survive operation.

摘要

心房肿块是一种罕见疾病,其最常见的病因是血栓形成。不过,肿瘤、赘生物和纤维化也可能是病因。如今,二维超声心动图是筛查疑似心脏肿块患者的主要影像学技术。我们描述了一名66岁患有慢性心房颤动的女性,她接受抗凝治疗已有一年。一个产生类似二尖瓣狭窄体征的左心房血栓脱落,阻塞了腹主动脉和肠系膜上动脉。她手术未能存活。

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