Antwi-Amoabeng Daniel, Willyard Charles E, Gullapalli Nageshwara, Keogh Michael
Internal Medicine, University of Nevada Reno School of Medicine, Reno, USA.
Cardiology, VA Sierra Nevada Health Care System, Reno, USA.
Cureus. 2020 Jun 9;12(6):e8536. doi: 10.7759/cureus.8536.
Intracardiac masses can be challenging to differentiate by echocardiography. We present a case of several intracardiac masses with echocardiographic features of both thrombi and myxoma in a patient with heart failure symptoms. The masses were confirmed to be thrombi after complete resolution on repeat echocardiography following anticoagulation. Echocardiography complements the history and physical exams in diagnosing intracardiac masses but may present a diagnostic challenge when features are not pathognomonic. Follow up imaging after anticoagulation should be standard of care to avoid unnecessary surgeries when the diagnosis of a cardiac mass is uncertain.
通过超声心动图鉴别心内肿物可能具有挑战性。我们报告一例患有心力衰竭症状的患者，其心内有多个肿物，超声心动图表现兼具血栓和黏液瘤的特征。抗凝治疗后重复超声心动图检查显示肿物完全消退，证实为血栓。超声心动图可辅助病史和体格检查用于诊断心内肿物，但当特征不具有特异性时可能带来诊断挑战。当心脏肿物诊断不确定时，抗凝治疗后的随访成像应作为标准治疗措施，以避免不必要的手术。
