耳前隔膜血源性囊与化模仿myxoma:一个罕见的病例
Xuejie Li1, Hongying Luo2, Jianglong Hou3
1Department of Anesthesiology, West China Hospital, Sichuan University and The Research Units of West China (2018RU012), Chinese Academy of Medical Sciences, Chengdu, China.
Echocardiography (Mount Kisco, N.Y.)
|August 17, 2023
概括
一个右心房质量,最初怀疑是瘤,被手术切除. 病理学检查显示,这是一个心房隔膜血源性囊与化,这是一个罕见的发现.
科学领域:
- 心脏病学 心脏病学
- 病理学 病理学 病理学
- 放射学 放射学是一门学科.
背景情况:
- 一名61岁的女性出现了偶然的右心房质量.
- 心声和核磁共振显示出右心房肌瘤.
研究的目的:
- 诊断和管理右心房质量.
- 为了区分myxoma和其他心脏质量.
主要方法:
- 用对比增强的心声回声和MRI进行成像.
- 在外科手术期间,通过食道进行心脏回声学 (TEE).
- 在心肺旁路术下进行手术切除.
主要成果:
- 图像检查显示,右心房附近的心房隔膜中有一个32-35毫米的质量.
- 在手术期间的TEE显示了在体内自发的回声对比.
- 病理学证实了心房隔膜血源性囊与化.
结论:
- 右心房质量需要彻底调查以确定确切的诊断.
- 血源性囊可以在成像上模仿菌瘤.
- 手术切除对于症状或诊断不确定性是有效的.
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