Right Atrial Inversion Mimicking Right Atrial Mass in the Setting of Cardiac Tamponade
Right Atrial Inversion Mimicking Right Atrial Mass in the Setting of Cardiac Tamponade
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DOI：
10.1053/j.jvca.2019.03.002
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发表时间：
2019-08-01
影响因子：
2.8
通讯作者：
Shillcutt, Sasha K.
中科院分区：
文献类型：
--
作者：
Adams, Austin J.;Guck, Amber N.;Shillcutt, Sasha K.
一名44岁女性因继发于假定病毒性心肌炎的心源性休克被转移到作者所在机构，随后接受静脉动脉体外膜肺氧合。经胸超声心动图显示一个巨大的右心房肿块，病因不明，并有中度心包积液。患者被送往手术室进行右心房肿块手术切除。术中经食道心脏超音波检查显示心脏压塞，右心房完全内陷。手术清除心包积液使右心房恢复，没有进一步的证据表明右心房肿块，右心房切开术后也没有发现肿块，这表明右心房“肿块”很可能是右心房在心包填塞的情况下完全倒置的结果。(C)2019爱思唯尔公司All rights reserved.
A 44-year-old woman was transferred to the authors' institution in cardiogenic shock secondary to a presumed viral myocarditis and subsequently was placed on venoarterial extracorporeal membrane oxygenation. Transthoracic echocardiography revealed a large right atrial mass of unknown etiology and moderate pericardial effusion. The patient was taken to the operating room for surgical removal of the right atrial mass. Intraoperative transesophageal echocardiography demonstrated cardiac tamponade with complete invagination of the right atrium. Surgical evacuation of the pericardial effusion reverted the right atrium, with no further evidence of the right atrial mass, and no mass was discovered after right atriotomy, indicating that the right atrial "mass" was likely the result of complete inversion of the right atrium in the setting of cardiac tamponade. (C) 2019 Elsevier Inc. All rights reserved.