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一名患有活动性乳腺癌且近期接受心胸外科手术的女性患者出现的罕见左心房肿物。

An Unusual Left Atrial Mass in a Woman with Active Breast Cancer and Recent Cardiothoracic Surgery.

作者信息

Ciliberti Giuseppe, Carotti Luciano, Russo Nicola, Gioia Margherita Ilaria, Caroli Giovanni, Guerra Federico, Di Eusanio Marco, Capucci Alessandro

机构信息

Cardiology and Arrhythmology Clinic, University Hospital, Marche Polytechnic University, Ancona, Italy.

Preventive Cardiology and Rehabilitation Unit, Villa Serena Hospital, Jesi, Italy.

出版信息

J Cardiovasc Echogr. 2018 Jan-Mar;28(1):51-53. doi: 10.4103/jcecho.jcecho_61_17.

DOI:10.4103/jcecho.jcecho_61_17
PMID:29629261
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5875137/
Abstract

Atrial masses are rare and more often localized in the right atrium. They are usually detected incidentally, and the leading causes are tumors, thrombi, or infective vegetations. However, normal structures and artifacts ("pseudomasses") should also be considered in differential diagnosis, especially after cardiac and/or aortic surgery. We present a case of an unusual left atrial image observed on transthoracic echocardiography in an 83-year-old woman after an intervention of open-chest ascending aorta replacement and myocardial revascularization.

摘要

心房肿物较为罕见,且更常位于右心房。它们通常是偶然发现的,主要病因是肿瘤、血栓或感染性赘生物。然而,在鉴别诊断时也应考虑正常结构和伪像(“假肿物”),尤其是在心脏和/或主动脉手术后。我们报告一例83岁女性在接受开胸升主动脉置换和心肌血运重建术后经胸超声心动图观察到的不寻常左心房影像的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2de5/5875137/2f325caaed86/JCE-28-51-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2de5/5875137/a5d49febe1d9/JCE-28-51-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2de5/5875137/49ee9d6c53d5/JCE-28-51-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2de5/5875137/2f325caaed86/JCE-28-51-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2de5/5875137/a5d49febe1d9/JCE-28-51-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2de5/5875137/49ee9d6c53d5/JCE-28-51-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2de5/5875137/2f325caaed86/JCE-28-51-g003.jpg

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本文引用的文献

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Aortic Arch and Thoracic Aorta Curvature Remodeling after Thoracic Endovascular Aortic Repair.胸主动脉腔内修复术后主动脉弓及胸主动脉曲率重塑
Ann Vasc Surg. 2017 Jan;38:233-241. doi: 10.1016/j.avsg.2016.05.097. Epub 2016 Aug 12.
2
Fact or Artifact in Two-Dimensional Echocardiography: Avoiding Misdiagnosis and Missed Diagnosis.二维超声心动图中的事实与伪像:避免误诊和漏诊
J Am Soc Echocardiogr. 2016 May;29(5):381-91. doi: 10.1016/j.echo.2016.01.009. Epub 2016 Mar 9.
3
A right atrial mass and a pseudomass.一个右心房肿块和一个假肿块。
Echocardiography. 2005 May;22(5):441-4. doi: 10.1111/j.1540-8175.2005.04049.x.
4
Differential diagnosis of cardiac masses using contrast echocardiographic perfusion imaging.使用对比超声心动图灌注成像对心脏肿块进行鉴别诊断。
J Am Coll Cardiol. 2004 Apr 21;43(8):1412-9. doi: 10.1016/j.jacc.2003.09.065.
5
Echocardiographic and pathologic characteristics of primary cardiac tumors: a study of 149 cases.原发性心脏肿瘤的超声心动图和病理特征:一项149例病例的研究。
Int J Cardiol. 2002 Jul;84(1):69-75. doi: 10.1016/s0167-5273(02)00136-5.