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体外循环后出现的类似血栓的右心房新肿块。

A new right atrial mass following cardiopulmonary bypass mimicking a thrombus.

作者信息

Tempe Deepak K, Sujith C N, Datt Vishnu, Betigeri Vithalkumar M

机构信息

Department of Anaesthesiology and Intensive Care, G B Pant Institute of Postgraduate Medical Education and Research, New Delhi, India.

Department of Cardiothoracic and Vascular Surgery, G B Pant Institute of Postgraduate Medical Education and Research, New Delhi, India.

出版信息

Ann Card Anaesth. 2018 Apr-Jun;21(2):203-204. doi: 10.4103/aca.ACA_158_17.

DOI:10.4103/aca.ACA_158_17
PMID:29652287
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5914226/
Abstract

This report describes a patient with severe mitral stenosis who underwent mitral valve replacement. After completion of cardiopulmonary bypass, an unexpected finding of a right atrial mass was noticed on transesophageal echocardiography. The actual finding, possible differential diagnosis, and the management strategy are discussed.

摘要

本报告描述了一名重度二尖瓣狭窄患者接受二尖瓣置换术的情况。在体外循环完成后，经食管超声心动图意外发现右心房肿块。文中讨论了实际发现、可能的鉴别诊断及处理策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a92/5914226/bf00875af999/ACA-21-203-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a92/5914226/bf00875af999/ACA-21-203-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a92/5914226/bf00875af999/ACA-21-203-g001.jpg

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本文引用的文献

1
Inverted left atrial appendage masquerading as a left atrial mass.伪装成左心房肿物的倒置左心耳。
Ann Card Anaesth. 2017 Apr-Jun;20(2):248-249. doi: 10.4103/aca.ACA_192_16.
2
Abrupt formation of intracardiac thrombus during cardiopulmonary bypass with full heparinization -A case report-.体外循环下心包完整肝素化时心腔内血栓的突然形成——病例报告。
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Acute intracardiac thrombus formation during thoracoabdominal aortic surgery.胸腹主动脉手术期间急性心内血栓形成
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Fatal pulmonary microthrombi during surgical therapy for end-stage heart failure: possible association with antifibrinolytic therapy.终末期心力衰竭手术治疗期间的致命性肺微血栓：可能与抗纤溶治疗有关。
J Thorac Cardiovasc Surg. 2006 May;131(5):963-8. doi: 10.1016/j.jtcvs.2006.01.005.
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[Limitations of transesophageal ultrasound in the assessment of intracardiac masses: a case report].[经食管超声心动图在评估心内肿块中的局限性：一例报告]
Rev Esp Anestesiol Reanim. 2005 Aug-Sep;52(7):421-4.
7
Accuracy of transesophageal echocardiography for identifying left atrial thrombi. A prospective, intraoperative study.经食管超声心动图识别左心房血栓的准确性：一项前瞻性术中研究。
Ann Intern Med. 1995 Dec 1;123(11):817-22. doi: 10.7326/0003-4819-123-11-199512010-00001.