原位心脏移植术后14年出现巨大左心房并伴有大量血栓形成

Giant Left Atrium Associated with Massive Thrombus Formation 14 Years after Orthotopic Heart Transplantation.

作者信息

Bartus Krzysztof, Litwinowicz Radoslaw, Kapelak Boguslaw, Filip Grzegorz, Wierzbicki Karol, Lee Randall J

机构信息

Department of Cardiovascular Surgery and Transplantology, Jagiellonian University, John Paul II Hospital, Krakow, Poland.

Cardiovascular Research Institute, University of California San Francisco, San Francisco, California, United States of America.

出版信息

Braz J Cardiovasc Surg. 2020 Dec 1;35(6):1010-1012. doi: 10.21470/1678-9741-2018-0390.

DOI:10.21470/1678-9741-2018-0390

PMID:33306328

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7731837/

Abstract

We report the case of a 60-year-old patient who underwent orthotopic heart transplant 14 years earlier. Routine echocardiography showed giant masses in the left atrium. There were no symptoms or thromboembolic events in the past. Magnetic resonance imaging study revealed very enlarged left atrium (8.7 × 10.6 cm) occupied by irregular smooth mass (7 × 5 × 6.1 cm) with a stalk that was attached to the posterior left atrial wall in the area of graft suture lines. Intraoperative examination revealed a massive thrombus (12 × 10 cm) that filled almost the entire left atrial area.

摘要

我们报告一例14年前接受原位心脏移植的60岁患者。常规超声心动图显示左心房有巨大肿块。患者既往无任何症状或血栓栓塞事件。磁共振成像研究显示左心房显著增大（8.7×10.6厘米），被一个不规则的光滑肿块（7×5×6.1厘米）占据，该肿块有一个蒂，附着于移植缝线区域的左心房后壁。术中检查发现一个巨大血栓（12×10厘米），几乎占据了整个左心房区域。