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超声心动图误诊为心外病变的心外膜脂肪增多症病例系列：多模态成像在澄清误诊中的作用

A Case Series of Epicardial Lipomatosis Masquerading as Extracardiac Pathology on Echocardiography: Role of Multimodality Imaging in Clarifying Misdiagnosis.

作者信息

Bajwa Farhan, Koenig Gerald, Hegab Sarah, Parikh Sachin, Ananthasubramaniam Karthik

机构信息

Division of Cardiology, Department of Medicine, University of Rochester, Rochester, New York.

Heart and Vascular Institute, Henry Ford Hospital, Detroit, Michigan.

出版信息

CASE (Phila). 2020 Jul 7;4(5):389-392. doi: 10.1016/j.case.2020.05.023. eCollection 2020 Oct.

DOI:10.1016/j.case.2020.05.023
PMID:33117935
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7581646/
Abstract

• Epicardial fat presents challenges in differentiating it from pericardial effusion. • Epicardial lipomatosis can mimic tumor or thrombus, leading to potential misdiagnosis. • Epicardial lipomatosis has been reported to present with cardiac symptoms. • Chest computed tomography and chest magnetic resonance imaging help to avoid misdiagnosis.

摘要

• 心外膜脂肪在与心包积液区分方面存在挑战。

• 心外膜脂肪过多症可模仿肿瘤或血栓，导致潜在的误诊。

• 据报道，心外膜脂肪过多症会出现心脏症状。

• 胸部计算机断层扫描和胸部磁共振成像有助于避免误诊。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e35a/7581646/caca41eefd45/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e35a/7581646/32606c786de9/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e35a/7581646/6300123779be/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e35a/7581646/532cae7c7b43/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e35a/7581646/fb00686483e5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e35a/7581646/7be379f33ddd/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e35a/7581646/caca41eefd45/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e35a/7581646/32606c786de9/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e35a/7581646/6300123779be/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e35a/7581646/532cae7c7b43/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e35a/7581646/fb00686483e5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e35a/7581646/7be379f33ddd/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e35a/7581646/caca41eefd45/gr5.jpg

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本文引用的文献

1
Prominent epicardial fat mimicking pericardial effusion on echocardiography.超声心动图上显著的心外膜脂肪酷似心包积液。
Eur Heart J Case Rep. 2018 Mar 20;2(2):yty034. doi: 10.1093/ehjcr/yty034. eCollection 2018 Jun.
2
Surgical resection of circumferential epicardial adipose tissue hypertrophy: Case report and systematic review of the literature.环形心外膜脂肪组织肥大的手术切除：病例报告及文献系统综述
J Thorac Cardiovasc Surg. 2016 Feb;151(2):e27-30. doi: 10.1016/j.jtcvs.2015.08.083. Epub 2015 Sep 26.
3
Fatty lesions in and around the heart: a pictorial review.
心脏及其周围的脂肪病变：图文综述
Br J Radiol. 2015 Jul;88(1051):20150157. doi: 10.1259/bjr.20150157. Epub 2015 May 7.
4
Epicardial fat: definition, measurements and systematic review of main outcomes.心外膜脂肪：定义、测量方法和主要结局的系统评价。
Arq Bras Cardiol. 2013 Jul;101(1):e18-28. doi: 10.5935/abc.20130138.