心内肿块诊断后的意外结果

Miriam Auxiliadora Martín Toro, Manuel Santiago Herruzo Rojas, María Magdalena Carrillo Bailén, José María Márquez Moreno
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引用次数: 0

摘要

我们报告了一个病例,患者来到急诊室的心力衰竭诊所,在胸部CT血管造影中偶然发现左心房占位性肿块,在起病心房颤动伴心室快速反应和二尖瓣狭窄的背景下,中度至重度风湿病尚不清楚。超声心动图对肿块(黏液瘤Vs心房血栓)的病因诊断有疑问。口服抗凝开始于全身栓塞和继发性多器官功能衰竭,左心房肿块消失。本临床病例的特殊性在于心房肿块的鉴别诊断困难,以及在这些病例中开始抗凝治疗后可能出现的破坏性后果,尽管目前的临床实践指南指出了这一点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Desenlace inesperado tras el diagnóstico de masa intracardiaca

We present the case of a patient who came to the Emergency Room with a heart failure clinic with a casual finding of a left atrial space-occupying mass in chest CT Angiography, in the context of de onset atrial fibrillation with rapid ventricular response and mitral stenosis moderate-severe rheumatism not known. An echocardiogram was performed with diagnostic doubts about the etiology of the mass (myxoma Vs atrial thrombus). Oral anticoagulation is initiated with systemic embolization and secondary multi-organ failure, with disappearance of the mass in the left atrium. The peculiarity of this clinical case lies in the difficulty involved in the differential diagnosis of atrial mass and the devastating consequences that may arise after initiating anticoagulation in these cases, despite being indicated by current clinical practice guidelines.

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