Galzerano Domenico, Pragliola Claudio, Al Admawi Mohamed, Mallardo Mario, Di Michele Sara, Gaudio Carlo
King Faisal Specialist Hospital & Research Center, Heart Center.
Monaldi Arch Chest Dis. 2018 Sep 4;88(3):906. doi: 10.4081/monaldi.2018.906.
We describe a case of a left atrial myxoma atypical for its anatomical features and site of attachment. Although an initial multimodality imaging was performed, the diagnosis of myxoma was possible only by three dimensional echocardiography (3DE) which was able to identify the pedicle and the attachment at the base of the interatrial septum, close to the origin of right inferior pulmonary vein. In fact the 3DE can electronically section the structures and obtain unique planes useful in visualizing correctly the anatomical features of the myxomas and as a result, it facilitates the surgical decision planning. Even the anatomical appearance was uncommon at surgery and the diagnosis could be confirmed only by pathology. This case highlights the diagnostic ability of the 3DE in similar challenging scenarios.
我们描述了一例左心房黏液瘤，其解剖特征和附着部位不典型。尽管最初进行了多模态成像，但仅通过三维超声心动图（3DE）才得以诊断黏液瘤，它能够识别蒂以及房间隔底部靠近右下肺静脉起源处的附着部位。事实上，3DE可以对结构进行电子切片，并获得有助于正确显示黏液瘤解剖特征的独特平面，因此便于进行手术决策规划。即使在手术中解剖外观也不常见，只有通过病理学才能确诊。该病例突出了3DE在类似具有挑战性的情况下的诊断能力。
