Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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A Closed Right Atrial Septal Aneurysm Suspected as a Tumor -1 case report-

우심방 종양으로 의심된 폐쇄성 심방중격류 - 1예 보고 -

  • 김재욱 (인제대학교 서울백병원 흉부외과) ;
  • 조욱현 (인제대학교 서울백병원 심장내과) ;
  • 박경석 (인제대학교 서울백병원 신경과) ;
  • 김용인 (인제대학교 서울백병원 흉부외과)
  • Published : 2003.08.01
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Abstract

A 70-year-old man with aphasia due to ischemic cerebral events by thromboemboli was admitted. The cause of thromboemboli was investigated, and transesophageal echocardiography and chest MRI revealed an encapsulated cystic mass in the right atrium, not circulating. It was a homogeneous cystic mass suggesting a tumor (Myxoma) rather than thrombus. Right atrial mass was resected together with partial atrial septum under the normgthermic cardiopulmonary bypass. Histologically it was an atrial septal aneurysm, closed on itself, filled with blood. We re-port this rarely seen case with a review of the literatures.

혈전성 뇌경색에 의한 실어증으로 70세 남자 환자가 입원하여 혈전에 대한 원인을 조사하던 중 경식도 초음파검사와 흉부 자기공명영상에서 혈류가 없는 우심방의 낭성종양으로 진단되었다. 종양은 균질성으로 혈전보다는 종양(점액종)으로 의심되었다. 종양은 심방중격의 일부와 함께 정상 체온 체외순환 상태에서 제거되었고 조직학적으로 피가 고여 있는 폐쇄성 심방중격류로 판명되었다. 이에 문헌 고찰과 함께 한 드문 증례를 보고하는 바이다.

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References

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