Intracardiac echocardiography to guide myocardial biopsy of a primary cardiac tumour
Intracardiac echocardiography to guide myocardial biopsy of a primary cardiac tumour
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DOI：
10.1016/j.euje.2006.08.005
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发表时间：
2007-12-01
影响因子：
--
通讯作者：
Bashir, Yaver
中科院分区：
文献类型：
--
作者：
Mitchell, Andrew R. J.;Timperley, Jonathan;Bashir, Yaver
一例61岁男性患者出现复发性室性心动过速（左束分支传导阻滞形态，上级轴）。磁共振成像（图1）和对比增强经胸超声心动图（图2）显示右心沿着右心房游离壁有一边界不清的肿块，累及三尖瓣并延伸至右心室。广泛的调查显示没有心外受累的证据，建议进行组织诊断。因此，我们选择进行心肌活检，为了便于准确的组织定位，我们在心内超声心动图的指导下进行了手术。(C)2006年欧洲心脏病学会。由爱思唯尔有限公司出版。保留所有权利。
A 61-year-old man presented with recurrent ventricular tachycardia (left bundle branch block morphology, superior axis). Magnetic resonance imaging (Fig. 1) and contrast-enhanced transthoracic echocardiography (Fig. 2) demonstrated an ill-defined mass in the right heart along the free wall of the right atrium, involving the tricuspid valve and extending into the right ventricle. Extensive investigation showed no evidence of extra-cardiac involvement and a tissue diagnosis was recommended. Accordingly, we elected to proceed to myocardial biopsy and, to facilitate accurate tissue localisation, we performed the procedure under guidance with intracardiac echocardiography. (C) 2006 The European Society of Cardiology. Published by Elsevier Ltd. All rights reserved.