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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.

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/a5d49febe1d9/JCE-28-51-g001.jpg

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