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伴有卵圆孔过早受限的右房心脏横纹肌瘤:一例报告。

Right atrial cardiac rhabdomyoma with premature foramen ovale restriction: A case report.

作者信息

Li Yi-Dan, He Yi-Hua, Li Zhi-An, Wei Ping

机构信息

Department of Ultrasound, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, P.R. China.

Department of Ultrasound, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, P.R. China.

出版信息

Oncol Lett. 2014 Dec;8(6):2553-2556. doi: 10.3892/ol.2014.2605. Epub 2014 Oct 10.

Abstract

Fetal cardiac rhabdomyoma is the most common cardiac tumor in fetuses. However, this benign tumor can cause hemodynamic repercussions and intrauterine fetal mortality. The present study reports a case of rare fetal cardiac rhabdomyoma located in the right atrium, accompanied by premature restriction of the foramen ovale and moderate pericardial effusion, as determined by tomographic ultrasound imaging (TUI). Fetal mortality subsequently occurred late in the second trimester of pregnancy and the diagnosis was confirmed by pathology. The present study discusses the occurrence and diagnosis of this rare abnormality. TUI mode with spatio-temporal image correlation offline imaging provides the physician with clear views of abnormal intracardiac structures in the beating heart. With improvements in sonographic technology, the diagnosis of fetal cardiac rhabdomyoma may be easier and more accurate in the clinical arena.

摘要

胎儿心脏横纹肌瘤是胎儿中最常见的心脏肿瘤。然而,这种良性肿瘤可引起血流动力学影响和宫内胎儿死亡。本研究报告了一例罕见的位于右心房的胎儿心脏横纹肌瘤病例,伴有卵圆孔过早受限和中度心包积液,这是通过断层超声成像(TUI)确定的。胎儿随后在妊娠中期晚期死亡,病理检查证实了诊断。本研究讨论了这种罕见异常的发生和诊断。具有时空图像相关离线成像的TUI模式为医生提供了跳动心脏中心内异常结构的清晰视图。随着超声技术的进步,胎儿心脏横纹肌瘤在临床领域的诊断可能会更容易、更准确。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3b5/4214446/665808e00538/OL-08-06-2553-g00.jpg

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