Airoldi L, Rizzotti M, Sarasso G, Francalacci G, Piccinino C, Occhetta E, Perucca A, Trevi G
Cattedra e Divisione Clinicizzata di Cardiologia, Università degli Studi, Torino, Sede di Novara.
Cardiologia. 1998 Jun;43(6):635-8.
Two-dimensional echocardiography is the technique of choice for identifying cardiac masses. Unfortunately, adjacent structures compressing the atrial wall may lead to misdiagnosis. Clinicians should promptly recognize this phenomenon and the related diagnostic features. The case of a 90-year-old woman presenting with a history of recent onset effort dyspnea is described. On transthoracic two-dimensional echocardiography a left atrial mass which closely mimicked an atrial myxoma was evident. A tomographic scan revealed a large sliding hiatus hernia, which was confirmed on traditional radiographic examination. The echocardiographic characteristics of the mass are described in detail, as well as a review of the literature for the purpose of a correct differential diagnosis.
二维超声心动图是识别心脏肿物的首选技术。不幸的是，邻近结构对心房壁的压迫可能导致误诊。临床医生应及时认识到这种现象及相关诊断特征。本文描述了一名90岁女性患者，有近期劳力性呼吸困难病史。经胸二维超声心动图显示一个酷似心房黏液瘤的左心房肿物。断层扫描显示一个巨大的滑动性食管裂孔疝，传统放射学检查证实了这一诊断。详细描述了该肿物的超声心动图特征，并回顾了文献以进行正确的鉴别诊断。
