Yamazaki T, Kobayashi A, Oohara K, Nakayama M, Sugimura S
Department of Thoracic and Cardiovascular Surgery, Toyohashi Municipal Hospital, Japan.
Kyobu Geka. 1996 Feb;49(2):139-41.
A 71-year-old man was admitted due to brain infarction. An abnormal floating mass was found in the right atrium by echocardiography. The mass was assumed to be a thrombus. The patient was failed to be in danger of pulmonary embolism, so it was decided to remove surgically. The thrombus was removed under cardiopulmonary bypass including the atrial wall where it was attached, because it was difficult to rule out the possibility of cardiac tumor macroscopically. The tumor showed pathological findings of thrombus. Postoperative course was uneventful.
一名71岁男性因脑梗死入院。经超声心动图检查发现右心房有一异常漂浮肿物。该肿物被认为是血栓。患者未处于肺栓塞危险中，因此决定进行手术切除。由于从宏观上难以排除心脏肿瘤的可能性，遂在体外循环下将血栓连同其附着的心房壁一并切除。肿瘤显示出血栓的病理特征。术后病程平稳。
