经房间隔导管插入术导致的左心房血栓，形似右心房实性肿块。
Left atrial thrombus due to transseptal catheterization simulating solid mass of right atrium.
作者信息
Lee Jae Hang, Kim Ji-Hyun, Choi Jin-Ho, Kim Eung-Joong
机构信息
Department of thoracic and cardiovascular surgery, Dongguk University Ilsan Hospital, Siksa-dong, Ilsandong-gu, Goyang-si, Gyeonggi-do, 410-773, South Korea.
Cardiovascular center, Dongguk University Ilsan Hospital, Goyang, Gyeonggi, South Korea.
出版信息
J Cardiothorac Surg. 2017 Sep 1;12(1):66. doi: 10.1186/s13019-017-0628-y.
BACKGROUND
Transseptal catheterization has been popularized through ongoing advances in percutaneous procedures, but related complications are known to occur.
CASE PRESENTATION
A 72 year-old female was admitted with left-sided weakness. In the course of various exams, a rounded and smooth-surfaced solid mass of right atrium was identified. However, a septal aneurysm associated with left atrial mural thrombus was evident intraoperatively. Given that percutaneous transseptal mitral valvotomy had been done 7 years previously, a causal relationship is likely.
CONCLUSIONS
Prior cardiac intervention should be considered in patients presenting with mass lesions of interatrial septum.
背景
经房间隔导管插入术已通过经皮手术的不断进展得以普及，但已知会发生相关并发症。
病例报告
一名72岁女性因左侧肢体无力入院。在各项检查过程中，发现右心房有一个圆形且表面光滑的实性肿块。然而，术中可见与左心房壁血栓相关的房间隔瘤。鉴于7年前已进行经皮经房间隔二尖瓣切开术，两者可能存在因果关系。
结论
对于出现房间隔肿块病变的患者，应考虑既往心脏介入史。
Zotero 插件