左心房黏液瘤切除术后左心房肿块阴影。

LA mass shadow after removal of LA myxoma.

作者信息

Raut Monish S, Dubey Sumir, Maheshwari Arun, Sharma Manish

机构信息

Associate Consultant, Department of Cardiac Anesthesia, Dharam Vira Heart Center, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi 110060, India.

Senior Consultant, Department of Cardiac Surgery, Dharam Vira Heart Center, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi 110060, India.

出版信息

Indian Heart J. 2016 Sep;68 Suppl 2(Suppl 2):S178-S179. doi: 10.1016/j.ihj.2015.06.003. Epub 2015 Aug 29.

DOI:10.1016/j.ihj.2015.06.003

PMID:27751281

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5067386/

Abstract

Inverted left atrial tissue is mostly identified when the heart is empty while coming off bypass. During echocardiography a new, echodense mobile mass in the left atrium without attachment is visualized. Such a picture can easily produce not only confusion in the diagnosis but also mitral valve obstruction, hemodynamic instability, and a possibility of appendage necrosis. Inability to identify such inverted tissue can lead to unwanted interventions with additional cardiopulmonary bypass time.

摘要

左心房组织倒置大多在心脏脱离体外循环且处于空虚状态时被发现。在超声心动图检查中，可看到左心房内有一个新的、回声致密的可移动肿物，且无附着。这样的影像不仅容易在诊断上造成混淆，还可能导致二尖瓣梗阻、血流动力学不稳定以及心耳坏死的可能性。无法识别这种倒置组织可能会导致不必要的干预，并延长体外循环时间。