Department of Anaesthesia and Intensive Care, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Department of Anaesthesia and Intensive Care, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
J Cardiothorac Vasc Anesth. 2020 Oct;34(10):2823-2826. doi: 10.1053/j.jvca.2020.06.064. Epub 2020 Jun 25.
Left atrial mass after excision of a left atrial myxoma may occur due to residual or additional masses, such as biatrial or multicentric myxomas and inverted left atrial appendage. In this E-challenge, the authors present a case where intraoperative transesophageal echocardiography allowed visualization of a left atrial mass after excision of a left atrial myxoma. Detailed examination demonstrated that the mass was due to left atrial dissection that progressed to rupture, allowing its early detection and repair. A high index of suspicion, as well as coordination between the surgeon and the perioperative echocardiographer, played a crucial role in the detection and management of this complication.
左心房黏液瘤切除术后可能会出现左心房肿块，这可能是由于残留或额外的肿块引起的，如双心房或多中心黏液瘤和左心房耳倒置。在这个 E 挑战中，作者报告了一例左心房黏液瘤切除术后术中经食管超声心动图可观察到左心房肿块的病例。详细检查表明，肿块是由于左心房夹层进展至破裂引起的，这使得能够早期发现并修复。高度怀疑，以及外科医生和围手术期超声心动图专家之间的协调，在检测和处理这种并发症方面发挥了关键作用。
