지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.1
- 수록면
- 167 - 167 (1page)
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A 67-year-old man was admitted to the cardiology department because of exertional dyspnea and orthopnea aggravated for 10 days. Transthoracic echocardiography showed dilated left ventricle (LV) with global hypokinesia with severely decreased systolic function (ejection fraction was estimated to be about 15%). Two oscillating masses with smooth, spherical contour were found in the LV apex (Fig. 1A). The size of masses were estimated 22 by 29 mm and 14 by 18 mm respectively.
The patient received unfractionated heparin intravenously for 5 days, followed by oral warfarin therapy. On the 8th hospital day, follow-up echocardiography revealed partial resolution of thrombi with resultant highly movable friable remnants (Fig. 1B). One the 18th hospital day, follow-up echocardiography revealed nearly complete resolution of thrombi (Fig. 1C). The patient was discharged home uneventfully.
Ball shaped-masses in LV may be thrombi, vegetations or tumors. Although echocardiography is the procedure of choice for the diagnosis of cardiac mass, differentiation between myxoma and thrombus may be very difficult if the mass size is small, contours are smooth, or attachment site is atypical or ill-defined.1) Short-term anticoagulation therapy, which can differentiate thrombi from tumors, makes unnecessary surgical procedure avoidable.
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