Division of Cardiology, Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea.
Korean Circ J. 2015 Mar;45(2):165-8. doi: 10.4070/kcj.2015.45.2.165. Epub 2015 Mar 24.
Pathologic diagnosis of a cardiac mass is vital in determining the proper treatment modality. Open heart surgery or transesophageal echocardiography guided biopsy can be feasible methods to confirm the pathology. However, the former is highly invasive and both methods require general anesthesia. The introduction of intracardiac echocardiography (ICE) can provide good anatomic information of heart and does not require general anesthesia. In this report, we present two cases of cardiac tumors which were confirmed by percutaneous biopsy under the guidance of an ICE. The patients underwent cardiac biopsy without any complications.
心脏肿块的病理诊断对确定适当的治疗方式至关重要。开胸心脏手术或经食管超声心动图引导下活检可以是确认病理的可行方法。然而，前者具有高度侵袭性，并且这两种方法都需要全身麻醉。心内超声心动图（ICE）的引入可以提供心脏的良好解剖信息，并且不需要全身麻醉。在本报告中，我们介绍了两例经 ICE 引导下经皮心内活检确诊的心脏肿瘤病例。这些患者在没有任何并发症的情况下接受了心脏活检。
