右心房肿瘤转移灶穿刺抽吸

Ghaleb Melhem, Koushesh Pouria, Bhatnagar Udit, Khan Abdul A, Park Minnsun, Sardar Rizwan

Department of Interventional Radiology, Texas Tech University Health Sciences Center El Paso, Paul L. Foster School of Medicine, El Paso, Texas, USA.

Department of Interventional Cardiology, Memorial Medical Center, Las Cruces, New Mexico, USA.

JACC Case Rep. 2024 Sep 4;29(17):102502. doi: 10.1016/j.jaccas.2024.102502.

A 72-year-old man with cirrhosis had undiagnosed hepatocellular carcinoma with distant metastasis occupying nearly the entire right atrium. He was a poor surgical candidate because of his bleeding risks and advanced liver cirrhosis. He successfully underwent urgent large-bore aspiration thrombectomy under simultaneous echocardiography and fluoroscopy, thus leading to a diagnosis of metastatic malignant disease.

一名72岁的肝硬化男性患者患有未被诊断出的肝细胞癌，伴有远处转移，几乎占据了整个右心房。由于出血风险和晚期肝硬化，他不适合进行手术。他在超声心动图和荧光透视同时监测下成功接受了紧急大口径抽吸血栓切除术，从而确诊为转移性恶性疾病。