查詢結果分析
相關文獻
- Idiopathic Constrictive Pericarditis Mimicking a Right Ventricular Tumor--A Case Report
- The Significance of Early Subtle Coronary Arterial Lesions on Echocardiogram in Kawasaki Disease
- Fatal Pulmonary Embolism in a Child Undergoing Extra-Ventricular Drainage Surgery--A Case Report
- Midterm Outcome of Mitral Valve Regurgitation after Repair of Atrioventricular Septal Defect
- 影像分析及計算機圖學應用於心臟超音波
- Pulmonary Hypertension--From Echocardiography and Electrocardiography to Clinical Correlation
- Hypereosinophilic Syndrome--A Case Report
- Tuberculous Pericardial Effusion with Intrapericardial Echogenic Masses-- A Case Report
- Changes of Endothelin-1 and Atrial Natriuretic Peptide during Dobutamine Stress Echocardiography
- Multiplane Transesophageal Echocardiography in the Diagnosis of Sinus Venosus Atrial Septal Defect in Adults
頁籤選單縮合
題 名 | Idiopathic Constrictive Pericarditis Mimicking a Right Ventricular Tumor--A Case Report=狹窄性心包膜炎偽裝成右心室內腫塊--一個案報告 |
---|---|
作 者 | 顧博明; 黃崔源; 鄭伯智; | 書刊名 | Acta Cardiologica Sinica |
卷 期 | 15:1 1999.01[民88.01] |
頁 次 | 頁39-44 |
分類號 | 415.3164 |
關鍵詞 | 狹窄性心包膜炎; 假性瘤; 心臟超音波; Constrictive pericarditis; Pseudotumor; Echocardiography; |
語 文 | 英文(English) |
中文摘要 | 一位72歲男性病患,因為持續六個月之運動性氣促及雙下肢水腫來院求診。理學檢查發現中心靜脈壓升高有Kussmaul氏徵及肝腫大,胸部電腦斷層發現廣泛性心包膜增厚,尤其是右心室前壁最嚴重。心導管檢查證實狹窄心包膜炎之診斷,手術時,經食道心臟超音波發現右心室內腫塊。當乾酪樣增厚的心包膜被切除後,右心室內腫塊就消失。病理報告是慢性心包膜炎。狹窄性心包膜炎在心臟超音波上的影像可以偽裝成右心室內腫塊。這是臺灣第一個右心室內假性瘤出現在狹窄心包膜炎的病例,在考慮右心室內腫塊的原因時,應將狹窄性心包膜炎列入鑑別診斷。 |
英文摘要 | Idiopathic constrictive pericarditis mimicking a right ventricular tumor is rare but clinically important. A 72-year-old male was admitted for progressive dyspnea on exertion and bilateral leg edema for 6 months. Physical examination revealed elevated central venous pressure with Kussmaul's sign and hepatomegaly. Computed tomographic scan of the chest confirmed diffuse pericardial thickening, specially on the anterior wall of the right ventricle. Cardiac catheterization documented hemodynamic findings diagnostic of pericardial constriction. Surgical intervention was done under transesophageal echocardiographic monitoring. Transesophageal echocardiography revealed a right ventricular mass. The thick caseous pericardium was resected and the mass in the right ventricle disappeared after pericardiectomy. The pathology report disclosed a chronic pericarditis. Constrictive pericarditis can have an echocardiographic image mimicking a right ventricular tumor. This is the first report of a pseudotumor of the right ventricle in a case of constrictive pericarditis in Taiwan. It would be worth remining clinicians of constrictive pericarditis as one differential diagnosis of right ventricular mass. |
本系統中英文摘要資訊取自各篇刊載內容。