心房血栓还是心房肌瘤?一个病例系列的超声心动图结果初步分析。

IF 2.4 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Guobing Hu, Fang Song
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引用次数: 0

摘要

背景:超声心动图已被证明是检测心房占位性病变(从原发性或继发性肿瘤到血栓)的有效工具。虽然精确诊断非常重要,因为临床治疗方法各不相同,但有时很难区分血栓和肌瘤:自2019年1月至2022年12月,我们回顾性分析了8例发现房室间肿块患者的超声心动图检查结果。在这 8 名患者中,4 人患有右心房肿块,4 人患有左心房肿块。根据超声波检查,8 名患者的初步诊断均为血栓,第二诊断为肌瘤。所有肿块最终都被证实为血栓。虽然超声心动图能为许多患者提供有关心房肿块性质的重要信息,但对一小部分心房肿块的定性诊断仍然存在困难:结论:在无心房颤动的患者中,心房血栓偶尔很难与心房肌瘤相鉴别,尤其是当血栓未附着于左心房阑尾时。回顾我们研究中描述的 8 位患者的超声心动图结果,有必要强调一个事实,即心房血栓可以模拟肌瘤,从而造成诊断难题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Atrial Thrombus or Atrial Myxoma? Preliminary Analysis of Echocardiographic Findings of a Case Series.

Background: Echocardiography has been proven to be a useful tool for detecting atrial-occupying lesions, ranging from primary or secondary tumors to thrombi. Although the precise diagnosis is important as clinical treatment modalities differ, sometimes differentiating a thrombus from a myxoma is very difficult.

Case report: From January 2019 to December 2022, we retrospectively analyzed the echocardiographic findings of 8 patients who were found to have an interatrial mass. Of the 8 patients, 4 had a right atrial mass, and 4 had a left atrial mass. Based on ultrasonic examination, the initial diagnosis was a thrombus and the second diagnosis was a myxoma for all 8 patients. All masses were finally confirmed to be thrombi. Although an echocardiogram can provide significant information on the nature of atrial masses in many patients, qualitative diagnosis of a small percentage of atrial masses remains difficult.

Conclusion: An atrial thrombus is occasionally difficult to differentiate from an atrial myxoma in patients without atrial fibrillation, especially when it is not attached to the left atrial appendage. Upon review of the echocardiographic findings of the 8 patients described in our study, it is essential to highlight the fact that a thrombus can mimic a myxoma and thereby create a diagnostic conundrum.

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来源期刊
Current Cardiology Reviews
Current Cardiology Reviews CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
3.70
自引率
10.50%
发文量
117
期刊介绍: Current Cardiology Reviews publishes frontier reviews of high quality on all the latest advances on the practical and clinical approach to the diagnosis and treatment of cardiovascular disease. All relevant areas are covered by the journal including arrhythmia, congestive heart failure, cardiomyopathy, congenital heart disease, drugs, methodology, pacing, and preventive cardiology. The journal is essential reading for all researchers and clinicians in cardiology.
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