心脏广泛纤维性包裹：一种罕见的超声心动图诊断。
Extensive fibrotic wrapping of the heart: a rare echocardiographic diagnosis.
机构信息
Department of Echocardiography, Beijing Chao Yang Hospital, Capital Medical University, No. 8 Gongti South Road, Chaoyang District, Beijing, China.
Department of Respiratory and Critical Care Medicine, Beijing Chao Yang Hospital, Capital Medical University, Beijing, China.
出版信息
Cardiovasc Ultrasound. 2022 Jul 25;20(1):19. doi: 10.1186/s12947-022-00289-y.
BACKGROUND
Fibrosing mediastinitis (FM) is considered a benign disease, but it can be fatal if progression leads to compression of the hilum of the lungs or invasion of the heart. Echocardiographic reports of this disease are very rare.
CASE PRESENTATION
We present a 14-year-old male patient whose non-enhanced chest computed tomography showed unclear soft-tissue dense lesions in the anterior superior mediastinum. Echocardiography showed the heart was extensively wrapped by soft tissue lesions. The histology confirmed FM.
CONCLUSIONS
When FM affects the heart, echocardiography can help to characterize the disease and aid in the diagnosis. Echocardiography should be considered an important tool to follow the progression of this disease and guide the therapeutic approach.
背景
纤维性纵隔炎（FM）被认为是一种良性疾病，但如果进展导致肺门受压或侵犯心脏，则可能致命。该病的超声心动图报告非常罕见。
病例介绍
我们介绍了一位 14 岁男性患者，其非增强胸部 CT 显示前上纵隔有不清晰的软组织致密病变。超声心动图显示心脏被软组织病变广泛包裹。组织学证实为 FM。
结论
当 FM 影响心脏时，超声心动图有助于对疾病进行特征描述并辅助诊断。超声心动图应被视为监测疾病进展并指导治疗方法的重要工具。
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