Cecconi M, Baldinelli A, Manfrin M, Fornari C, Sparvieri F
Ospedale Cardiologico G.M. Lancisi, Ancona.
G Ital Cardiol. 1994 May;24(5):527-31.
We report the case of a 69-year-old woman with a history of hypertension and transient ischemic attack who was admitted because of a diagnosis of left atrial mass on transthoracic echocardiography. Monoplane transesophageal echocardiography showed an extracardiac mass compressing the left atrium posteriorly and an apparent intraatrial mass. As the procedure did not clarify the nature of the masses, a thoracic magnetic resonance imaging was performed. This technique revealed a large hiatal hernia impinging on the left atrium without evidence of an upper gastrointestinal tract. Our experience confirm that hiatal hernia may mimic an echocardiographic left atrial mass and should be considered in the differential diagnosis of this finding.
我们报告了一例69岁女性患者，有高血压和短暂性脑缺血发作病史，因经胸超声心动图诊断为左心房肿块而入院。单平面经食管超声心动图显示一个心外肿块向后压迫左心房以及一个明显的心房内肿块。由于该检查未能明确肿块的性质，遂进行了胸部磁共振成像检查。该检查显示一个巨大的食管裂孔疝压迫左心房，未发现上消化道病变迹象。我们的经验证实，食管裂孔疝可能在超声心动图上表现类似左心房肿块，在对此发现进行鉴别诊断时应予以考虑。
