经食管超声心动图诊断血栓迁移至心房。
Thrombi migration to atrium diagnosed by transesophageal echocardiography.
作者信息
Erdemli Özcan, Demir Asli, Güçlü Çiğdem Yildirim, Karadeniz Ümit, Çağli Kerim
机构信息
Department of Anesthesiology, Turkiye Yuksek Ihtisas Education and Research Hospital, Ankara.
出版信息
Asian Cardiovasc Thorac Ann. 2013 Aug;21(4):467-9. doi: 10.1177/0218492312457923. Epub 2013 Jul 1.
Two days before surgery in a 70-year-old man with renal cell carcinoma, transthoracic echocardiography showed a dense mass in the inferior vena cava, lying proximally, but no mass was observed in the right atrium. Intraoperative transesophageal echocardiography revealed unexpected tumor thrombi in the right atrium, and the surgical plan was changed. This case highlights the importance of intraoperative transesophageal echocardiography in patients with renal cell carcinoma.
在一名70岁肾细胞癌男性患者手术前两天，经胸超声心动图显示下腔静脉近端有一密集肿块，但右心房未观察到肿块。术中经食管超声心动图发现右心房有意外的肿瘤血栓，手术计划因此改变。该病例突出了术中经食管超声心动图在肾细胞癌患者中的重要性。
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