心脏钙化无定形肿瘤的处理方法。

IF 2.3 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

American Journal of Cardiology Pub Date : 2025-05-14 DOI:10.1016/j.amjcard.2025.05.013

Parker Wilson DO , Priyamvada Pillai MD , Jacob Reiss MD , Matthew Zhou MD , Aldo Rafael MD , Purav Mody MD

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引用次数: 0

摘要

一名76岁女性，既往有原发性高血压、高脂血症和肥胖病史，因左侧视力丧失恶化2个月就诊于初级保健医生。眼科检查显示左视网膜动脉分支闭塞，超声心动图显示二尖瓣上有很大的移动回声密度。结合具体的临床特征和超声心动图特征，钙化无定形肿瘤（CAT）的可能性最高。切除该肿块证实了CAT的诊断。目前文献中关于这些肿瘤的最佳治疗策略的临床平衡，因此应该采用多学科的方法来制定个性化的治疗计划。

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Approach to Management of Cardiac Calcified Amorphous Tumor

A 76-year-old female with a known medical history of treated essential hypertension, hyperlipidemia, and obesity presented to her primary care provider for 2 months of worsening left-sided vision loss. Ophthalmologic evaluation demonstrated a left retinal artery branch occlusion leading to echocardiographic evaluation which revealed a large mobile echodensity on the mitral valve. Given specific clinical features and echocardiographic characteristics, the suspicion was highest for calcified amorphous tumor (CAT). Excision of this mass confirmed the diagnosis of CAT. There is currently clinical equipoise in literature regarding the best treatment strategy for these tumors therefore a multidisciplinary approach should be used to formulate individualized treatment plans.

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来源期刊

American Journal of Cardiology 医学-心血管系统

CiteScore

4.00

自引率

3.60%

发文量

698

审稿时长

33 days

期刊介绍： Published 24 times a year, The American Journal of Cardiology® is an independent journal designed for cardiovascular disease specialists and internists with a subspecialty in cardiology throughout the world. AJC is an independent, scientific, peer-reviewed journal of original articles that focus on the practical, clinical approach to the diagnosis and treatment of cardiovascular disease. AJC has one of the fastest acceptance to publication times in Cardiology. Features report on systemic hypertension, methodology, drugs, pacing, arrhythmia, preventive cardiology, congestive heart failure, valvular heart disease, congenital heart disease, and cardiomyopathy. Also included are editorials, readers'' comments, and symposia.