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一例罕见的梗阻性休克病例。

An Unusual Case of Obstructive Shock.

作者信息

Parlow Simon, Cheung Matthew, Verreault-Julien Louis, Wu Kai Yi, Berardi Philip, Nair Vidhya, Di Santo Pietro, Jung Richard G, Mathew Rebecca, Hibbert Benjamin

机构信息

CAPITAL Research Group, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.

Division of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.

出版信息

JACC Case Rep. 2021 Dec 15;3(18):1913-1917. doi: 10.1016/j.jaccas.2021.10.017.

DOI:10.1016/j.jaccas.2021.10.017
PMID:34984352
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8693255/
Abstract

A 54-year-old man presented in profound obstructive shock. Investigations revealed a right atrial mass causing severe right ventricular inflow obstruction and compromised cardiac output. The patient was treated with emergency balloon catheter intervention to relieve the obstruction, with resulting hemodynamic stability. The pathology report later returned a positive result for diffuse large B-cell lymphoma. ().

摘要

一名54岁男性出现严重的梗阻性休克。检查发现右心房有肿块，导致严重的右心室流入道梗阻，心输出量受损。该患者接受了紧急球囊导管介入治疗以缓解梗阻，从而实现了血流动力学稳定。病理报告后来显示弥漫性大B细胞淋巴瘤呈阳性结果。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc7/8693255/10ee736ae52b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc7/8693255/82448759b324/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc7/8693255/ce7c0a6f0332/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc7/8693255/8645d1a09826/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc7/8693255/10ee736ae52b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc7/8693255/82448759b324/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc7/8693255/ce7c0a6f0332/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc7/8693255/8645d1a09826/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc7/8693255/10ee736ae52b/gr3.jpg

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本文引用的文献

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Cardiac Tumors: State-of-the-Art Review.心脏肿瘤：最新综述
JACC CardioOncol. 2020 Jun 16;2(2):293-311. doi: 10.1016/j.jaccao.2020.05.009. eCollection 2020 Jun.
2
The role of percutaneous vacuum-assisted thrombectomy for intracardiac and intravascular pathology.经皮真空辅助血栓切除术在心脏和血管疾病中的作用。
J Card Surg. 2018 Oct;33(10):666-672. doi: 10.1111/jocs.13806. Epub 2018 Sep 5.
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Circulatory shock.循环性休克
N Engl J Med. 2014 Feb 6;370(6):583. doi: 10.1056/NEJMc1314999.
4
Primary cardiac lymphoma.原发性心脏淋巴瘤。
Int J Cardiol. 2011 Jun 16;149(3):358-63. doi: 10.1016/j.ijcard.2010.02.016. Epub 2010 Mar 12.
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Primary cardiac lymphoma: B- and T-cell cases at a specialist UK centre.原发性心脏淋巴瘤：英国一专业中心的 B 细胞和 T 细胞病例。
Ann Oncol. 2010 May;21(5):1041-5. doi: 10.1093/annonc/mdp424. Epub 2009 Oct 21.
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Emergency management of severe right ventricular inflow obstruction secondary to a metastatic cardiac tumor.
Ann Thorac Surg. 2005 Feb;79(2):709-11. doi: 10.1016/j.athoracsur.2003.08.024.
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Urgent heart surgery for an atrial mass: metastatic hepatocellular carcinoma.
Ann Thorac Surg. 2001 Sep;72(3):931-3. doi: 10.1016/s0003-4975(00)02409-7.