Okuyama Takuhiro, Fukuda Shota, Ehara Shoichi, Kaku Daisuke, Shimada Kenei, Yoshikawa Junichi, Yoshiyama Minoru
Department of Internal Medicine and Cardiology, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan.
Department of Medicine, Cardiovascular Division, Osaka Ekisaikai Hospital, 2-1-10 Honden, Nishi-ku, Osaka 550-0022, Japan.
J Cardiol Cases. 2009 Nov 8;1(1):e9-e11. doi: 10.1016/j.jccase.2009.05.001. eCollection 2010 Feb.
A 60-year-old woman was admitted with chief complaints of dyspnea for the previous 3 weeks. Transthoracic echocardiography (TTE) showed the amount of pericardial effusion and signs of cardiac tamponade. However, a tumor was not detected by TTE in any view. Multidetector computed tomography (MDCT) showed that the tumor protruded into the right atrium, invading to the outside of the heart. Transesophageal echocardiography (TEE) also showed the mobile tumor in the right atrium. In conclusion, this report may demonstrate that MDCT and TEE are required as complementary methods in the detection of cardiac tumors.
一名60岁女性因前3周出现呼吸困难为主诉入院。经胸超声心动图(TTE)显示心包积液量及心脏压塞征象。然而,TTE在任何视角均未检测到肿瘤。多排螺旋计算机断层扫描(MDCT)显示肿瘤突入右心房,侵犯至心脏外。经食管超声心动图(TEE)也显示右心房有活动的肿瘤。总之,本报告可能表明MDCT和TEE作为检测心脏肿瘤的补充方法是必要的。