一名肺栓塞患者在 M 型超声心动图上出现类似黏液瘤的右心房血栓。

Right atrial thrombus simulating myxoma on M-mode echocardiography in a patient with pulmonary emboli.

作者信息

Whitford E G, Harper R W, Federman J, Skoien A, Anderson S T, Pitt A

出版信息

Aust N Z J Med. 1982 Oct;12(5):543-545. doi: 10.1111/j.1445-5994.1982.tb03844.x.

DOI:10.1111/j.1445-5994.1982.tb03844.x

Abstract

Echoes from a right atrial mass in a patient with pulmonary embolism simulated a typical echocardiographic appearance of a right atrial myxoma. The patient was admitted with recurrent pulmonary emboli and had evidence of deep venous thrombosis on venography. M-mode echocardiography showed the appearance of a right atrial mass and right atrial angiography confirmed the presence of a mass prolapsing from right atrium into right ventricle. Subsequent 2-dimensional echocardiography and careful repeat M-mode echocardiography failed to demonstrate the mass suggesting embolisation to the lungs or lysis of the thrombus.

摘要

一名肺栓塞患者右心房肿块的回声模拟了右心房黏液瘤典型的超声心动图表现。该患者因复发性肺栓塞入院，静脉造影显示有深静脉血栓形成的证据。M型超声心动图显示右心房有肿块，右心房血管造影证实有一肿块从右心房脱垂至右心室。随后的二维超声心动图检查及仔细重复的M型超声心动图检查均未发现该肿块，提示其已栓塞至肺部或血栓已溶解。