右心房血栓伪装成神经瘤
Shahad Alchalabi1, Abdulrahman S Museedi2
1Medical University of the Americas, Nevis, Saint Kitts and Nevis.
European journal of case reports in internal medicine
|July 10, 2024
概括
在体位右心房血栓,模仿myxoma,可以发生在败血症. 心脏MRI是诊断的关键,透导管吸收为大血栓提供了不那么侵入性的治疗选择.
科学领域:
- 心脏病学 心脏病学
- 放射学 放射学是一门学科.
- 病理学 病理学 病理学
背景情况:
- 在位右心房 (RA) 血栓很少见,通常与炎症或高凝血状态有关.
- 这一案例突出显示了在患有败血症和细菌血症的患者中模仿心房肌瘤的RA血栓.
研究的目的:
- 为了呈现一个模仿心房肌瘤的现场RA血栓病例.
- 强调心脏磁共振成像 (CMR) 的诊断作用.
- 讨论通过导管吸入作为一种治疗选择.
主要方法:
- 一名41岁的男性患者患有败血性关节炎和MRSA细菌血症.
- 诊断成像包括跨心回声,跨食道回声和心磁共振 (CMR) 成像.
- 治疗涉及过导管吸收.
主要成果:
- 经食道心声学揭示了一个类似于心房瘤的质量.
- 通过CMR成像,强烈推测出血栓.
- 病理学证实有组织的纤维素血栓,没有感染的证据.
结论:
- CMR成像对于区分RA血栓与肌瘤至关重要,避免不必要的手术.
- 在高凝血/炎症状态下,即便没有DVT或心房动,也可能发生自发的现场RA血栓.
- 过导管吸血是一种有效的,不那么侵入性的替代大,移动的RA血栓,减少栓塞的风险.
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