Esturau R, Azevedo J, Hernandez J M, San Roman D, Torrecilla E, Garcia-Fernandez M A
Hospital General Gregório Marañon, Madrid, Espanha.
Rev Port Cardiol. 1994 May;13(5):425-9, 381.
We report a clinical case of a 60 year old male patient with a orthotopic cardiac transplant, submitted to a transesophageal echocardiographic study. This semi-invasive study showed a mobile multi-lobulated mass of the left atria, related with the hyperplastic process of the surgical suture area and directly associated with the cardiac transplant procedure. We discuss the rarity of this benign case, the different forms of two-dimensional echocardiographic presentation of this type of lesions, the problems of non invasive diagnostic techniques, the risk and the prognostic value of these structures. We conclude that a longitudinal study in a larger number of cardiac transplant patients will be needed, in order to define better the clinical implications of these echocardiographic findings.
我们报告了一例60岁男性原位心脏移植患者的临床病例，并对其进行了经食管超声心动图研究。这项半侵入性研究显示左心房有一个可移动的多叶状肿块，与手术缝合区域的增生过程有关，且与心脏移植手术直接相关。我们讨论了这种良性病例的罕见性、这类病变二维超声心动图表现的不同形式、非侵入性诊断技术的问题、这些结构的风险和预后价值。我们得出结论，为了更好地确定这些超声心动图表现的临床意义，需要对更多心脏移植患者进行纵向研究。
