Janssen G, Kretschmer S, Achenbach S, von der Emde J, Moshage W, Bachmann K
Medizinische Klinik II Friedrich-Alexander-Universität Erlangen-Nürnberg.
Z Kardiol. 1996 May;85(5):351-6.
In a 61 year old male with heart failure and pulmonary congestion the x-ray shows a right paracardial tumor. The patient suffered from a blunt chest trauma 6 years ago. Since that accident he complains about exercise related dyspnea and cardiac arrhythmia with atrial fibrillation. On echocardiography we found a echolucent cystic tumor with a solid center structure surrounded by a thin membrane. Doppler echocardiography revealed a heart cycle dependent flow at its margin. During dextrocardiography rapid opacification only of the peripheral structures of the tumor could be observed. These findings are consistent with a traumatic rupture of the right atrium, and the diagnosis of a posttraumatic aneurysma spurium of the right atrium was established. Surgery confirmed this diagnosis and the aneurysm was extirpated.
在一名患有心力衰竭和肺充血的61岁男性患者中，X线显示右心旁肿瘤。该患者6年前曾遭受钝性胸部创伤。自那次事故以来，他一直抱怨与运动相关的呼吸困难以及伴有心房颤动的心律失常。超声心动图检查发现一个无回声的囊性肿瘤，其中心结构为实性，周围有一层薄膜。多普勒超声心动图显示肿瘤边缘有随心动周期变化的血流。在右心造影过程中，仅观察到肿瘤外周结构迅速显影。这些发现与右心房创伤性破裂相符，遂确诊为右心房创伤性假性动脉瘤。手术证实了这一诊断，并切除了动脉瘤。
