以肺血栓栓塞症为表现的右心房肿物：意外发现的肝组织

Right Atrial Mass Presenting With Pulmonary Thromboembolic Disease: An Unexpected Hepatic Tissue.

作者信息

Ahmed Asmaa, Abozeed Mostafa, Patel Haren, Ibrahim Mohamed K, Winokur Thomas, Singh Satinder

机构信息

Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Department of Cardiology, University of Alabama at Birmingham, Birmingham, Alabama, USA.

出版信息

JACC Case Rep. 2025 Apr 16;30(8):103697. doi: 10.1016/j.jaccas.2025.103697.

DOI:10.1016/j.jaccas.2025.103697

PMID:40250907

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12046991/

Abstract

We report a rare case of a 53-year-old woman presenting with pulmonary thromboembolic disease and a right atrial mass initially suspected to be myxoma. Imaging and surgical exploration revealed the mass to be accessory hepatic tissue extending into the inferior vena cava, a highly unusual finding. Histopathologic examination confirmed the diagnosis. This case underscores the importance of considering rare entities like accessory hepatic tissue in the differential diagnosis of right atrial masses to guide appropriate surgical management and prevent complications.

摘要

我们报告了一例罕见病例，一名53岁女性，患有肺血栓栓塞性疾病，右心房有一肿块，最初怀疑是黏液瘤。影像学检查和手术探查显示该肿块为延伸至下腔静脉的副肝组织，这是一个非常罕见的发现。组织病理学检查证实了诊断。该病例强调了在右心房肿块的鉴别诊断中考虑副肝组织等罕见实体的重要性，以指导适当的手术管理并预防并发症。