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神经症状与脑血管意外:成人左侧心脏肿瘤的表现

Neurological symptoms and cerebrovascular accidents: manifestations of left-sided cardiac tumours in adults.

作者信息

Said S A M, Droste H T, Baart J C, Klaver M M, Sie H T

出版信息

Neth Heart J. 2004 Nov;12(11):504-507.

PMID:25696276
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2497409/
Abstract

We present two adult patients with a left-sided cardiac tumour in whom the diagnosis was established by transthoracic and transoesophageal echocardiography. They both presented with a cerebrovascular accident. Cardiac surgery for tumour excision was offered but refused by one and successfully performed in the other. In one of the patients, right femoro-crural bypass was undertaken because of arterial insufficiency. The patient who refused surgical intervention died secondary to severe septic shock. In the other patient serial transthoracic and transoesophageal echocardiography showed no tumour recurrence at four years of follow-up post tumour extirpation.

摘要

我们报告了两名患有左侧心脏肿瘤的成年患者,其诊断通过经胸和经食管超声心动图得以确立。他们均出现了脑血管意外。我们为他们提供了肿瘤切除的心脏手术,但其中一人拒绝,另一人则成功接受了手术。在其中一名患者中,由于动脉供血不足进行了右股-腘动脉搭桥术。拒绝手术干预的患者死于严重感染性休克。在另一名患者中,术后四年的随访期间,经胸和经食管超声心动图系列检查显示未出现肿瘤复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11f4/2497409/649ac519e54d/Nheartj00110-0027-d.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11f4/2497409/edbae8e3eb4c/Nheartj00110-0027-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11f4/2497409/8355f403192f/Nheartj00110-0027-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11f4/2497409/0f825bc85bd9/Nheartj00110-0027-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11f4/2497409/649ac519e54d/Nheartj00110-0027-d.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11f4/2497409/edbae8e3eb4c/Nheartj00110-0027-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11f4/2497409/8355f403192f/Nheartj00110-0027-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11f4/2497409/0f825bc85bd9/Nheartj00110-0027-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11f4/2497409/649ac519e54d/Nheartj00110-0027-d.jpg

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本文引用的文献

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Molecular imaging of cell death in intracardiac tumours: A new approach to differential diagnosis in cardiac tumours.心脏肿瘤中细胞死亡的分子成像:心脏肿瘤鉴别诊断的新方法。
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