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Left atrial myxoma mimicking papillary fibroelastoma

机译:模仿乳头状纤维弹性瘤的左心房粘液瘤

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摘要

A 67-year-old woman was referred to our hospital with a diagnosis of deep vein thrombosis due to surgery for left patellar fracture. Deep vein thrombosis resolved with thrombolytic therapy. Transthoracic echocardiogram revealed a mobile left atrial tumor. Transesophageal echocardiography showed a fragile tumor with multiple fronds, implying a papillary fibroelastoma. Because this patient had a history of cerebral embolism, urgent surgery was scheduled. The excised tumor showed a sea anemone-like appearance in saline, which was similar to that of a papillary fibroelastoma. However, histological examination revealed the features of a myxoma and not papillary fibroelastoma. Herein, we illustrate a very rare case of left atrial myxoma with papillary fibroelastoma-like features in terms of both echocardiographic and gross findings.
机译:一名67岁的妇女被转诊到我院,诊断为左surgery骨骨折手术引起的深静脉血栓形成。深静脉血栓形成通过溶栓治疗得以解决。经胸超声心动图显示左心房活动瘤。经食道超声心动图检查显示为易碎性肿瘤,多叶状,提示乳头状纤维弹性瘤。由于该患者有脑栓塞病史,因此安排了紧急手术。切除的肿瘤在盐水中显示出类似海葵的外观,类似于乳头状纤维弹性瘤。但是,组织学检查显示粘液瘤的特征而不是乳头状纤维弹性瘤。在这里,我们从超声心动图和总体发现方面说明了极少见的具有乳头状纤维弹性瘤样特征的左房粘液瘤。

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