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一名病态肥胖患者出现钙化右心房血栓伴近乎系统性肺动脉压:一个临床难题。

Calcified Right Atrial Thrombus With Near-Systemic Pulmonary Pressures in a Morbidly Obese Patient: A Clinical Conundrum.

作者信息

Sama Carlson, Chobufo Muchi Ditah, Pang Li, Foryoung Joyce, Mills James

机构信息

Internal Medicine, West Virginia University School of Medicine, Morgantown, USA.

Cardiology, West Virginia University School of Medicine, Morgantown, USA.

出版信息

Cureus. 2023 Jan 25;15(1):e34202. doi: 10.7759/cureus.34202. eCollection 2023 Jan.

Abstract

Intracardiac masses are not uncommon, but a calcified right atrial thrombus (CRAT) is an exceedingly rare entity and often poses a diagnostic and therapeutic dilemma. We discuss the case of an incidentally noted CcRAT in a 40-year-old man presenting with progressive dyspnea. We further review the literature on the subject, highlighting the need for an individual patient-centred care plan.

摘要

心内肿物并不罕见,但钙化的右心房血栓(CRAT)是一种极其罕见的情况,常常带来诊断和治疗上的两难困境。我们讨论了一例在一名因进行性呼吸困难就诊的40岁男性中偶然发现的CRAT病例。我们进一步回顾了关于该主题的文献,强调了制定以患者个体为中心的护理计划的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8bc/9957568/c15f83c98ba2/cureus-0015-00000034202-i01.jpg

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