LV myxoma on Real-time 3DTTE in a young patient with dilated cardiomyopathy and apical thrombus

Nguyen Tuan Vu
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Abstract

A 31 year old man patient presented by dyspnea for one month, no past history of heart disease had been noted. Physical examination detected 3rd gallop sound, sinus tachycardia and LVH were revealed on his ECG. Chest X ray showed a cardiomegaly with enlarged LV arch. Routine 2DTTE demonstrated enlarged LV and severely reduced EF. 2DTTE completed by 3DTTE visualized a LV myxoma that was attached to the posterior IVS next to apical area, hypermobile, pedunculated and excrescential. The risk of embolic events is very high. Regarding the severe heart failure, patient was followed up with medical treatment of heart failure and anticoagulant use
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扩张型心肌病合并心尖血栓的年轻患者的实时3DTTE显示左室黏液瘤
31岁男性患者,因呼吸困难1个月,既往无心脏病史。体格检查发现第三跳音,心电示窦性心动过速及左室肥厚。胸部X线显示心脏肿大,左室弓增大。常规2DTTE显示左室增大,EF严重降低。通过3DTTE完成的2DTTE可见左室黏液瘤,附着在靠近根尖的后IVS上,过度移动,有带梗,多余。栓塞事件的风险非常高。对于严重心衰患者,随访心衰药物治疗及抗凝药物使用情况
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