Primary left atrial leiomyosarcoma simulating pulmonary thromboembolism.
Primary left atrial leiomyosarcoma simulating pulmonary thromboembolism.
复制标题
原发性左心房平滑肌肉瘤模拟肺血栓栓塞。
DOI：
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发表时间：
1994
期刊：
影响因子：
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通讯作者：
F. Cheeseman
中科院分区：
文献类型：
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作者：
K. T. Nguyen;K. Mak;A. Sanfilippo;W. S. Rosen;F. Cheeseman
作者描述了一个病人与原发性左心房平滑肌肉瘤延伸到右肺静脉。最初的表现和通气灌注扫描提示肺血栓栓塞症。经胸超声心动图的结果是非诊断性的，并最终作出诊断的基础上，计算机断层扫描（CT）和经食管超声心动图的结果。在手术中确诊。这个病例证明了当经胸超声心动图不能诊断时，CT和经食管超声心动图在评价心内肿块中的互补作用。它还表明，心脏肿瘤可能会出现与其他疾病相似的非特异性症状。
The authors describe a patient with primary left atrial leiomyosarcoma extending into the right pulmonary veins. The initial presentation and ventilation-perfusion scanning suggested pulmonary thromboembolism. The results of transthoracic echocardiography were nondiagnostic, and the diagnosis was eventually made on the basis of computed tomography (CT) and transesophageal echocardiography findings. The diagnosis was confirmed at surgery. This case demonstrates the complementary roles of CT and transesophageal echocardiography in the evaluation of intracardiac masses when transthoracic echocardiography is nondiagnostic. It also illustrates that cardiac tumours may present with nonspecific symptoms that mimic those of other disease.