Adauy Julián Vega, Gabrielli Luigi, Córdova Samuel, Saavedra Rodrigo, McNab Paul
Division of Cardiovascular Diseases, Faculty of Medicine, Pontificia Universidad Católica, Santiago, Chile.
Advanced Center for Chronic Diseases, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Echocardiography. 2017 Sep;34(9):1396-1398. doi: 10.1111/echo.13574. Epub 2017 May 30.
A 79 year-old-man presented three episodes of upper gastrointestinal bleeding and weight loss. Endoscopy revealed bleeding and extrinsic compression at the pyloric region. Computed tomography scan showed a pancreatic tumor, peritoneal carcinomatosis, vascular infiltration, and incidentally found a partially calcified hypodense lesion of 35 mm in the left atrium, suggesting a myxoma or a thrombus. Echocardiography revealed moderate left atrium enlargement, dilated left atrial appendage with spontaneous echo contrast, moderate dilatation and dysfunction of the left ventricle, ejection fraction was 39%, and an atrial septal aneurysm in which a piriform, mass of 35×33×25 mm, was "sitting," suggesting an organized thrombus.
一名79岁男性出现了三次上消化道出血和体重减轻的症状。内镜检查显示幽门区域有出血和外在压迫。计算机断层扫描显示有胰腺肿瘤、腹膜癌转移、血管浸润，偶然发现左心房有一个35毫米的部分钙化低密度病变，提示可能是黏液瘤或血栓。超声心动图显示左心房中度扩大，左心耳扩张并伴有自发回声增强，左心室中度扩张且功能障碍，射血分数为39%，还有一个房间隔瘤，其中有一个35×33×25毫米的梨形肿块“盘踞”，提示为机化血栓。
