多模态超声心动图诊断儿童骑跨卵圆孔的双心房黏液瘤1例  

Bilateral atrial myxoma straddling the foramen ovale in a child diagnosed by multimodal echocardiography:a case report

作　　者：张宝富 赖登明 叶菁菁[1] 石卓[3] Zhang Baofu;Lai Dengming;Ye Jingjing;Shi Zhuo(Department of Ultrasound Diagnosis,the Children's Hospital,Zhejiang University School of Medicine,National Clinical Research Center for Child Health,Hangzhou 310052,China;Department of Neonatal Surgery,the Children's Hospital,Zhejiang University School of Medicine,National Clinical Research Center for Child Health,Hangzhou 310052,China;Department of Cardiac Surgery,the Children's Hospital,Zhejiang University School of Medicine,National Clinical Research Center for Child Health,Hangzhou 310052,China)

机构地区：[1]浙江大学医学院附属儿童医院超声科、国家儿童健康与疾病临床医学研究中心,杭州310052 [2]浙江大学医学院附属儿童医院新生儿外科、国家儿童健康与疾病临床医学研究中心,杭州310052 [3]浙江大学医学院附属儿童医院心脏外科、国家儿童健康与疾病临床医学研究中心,杭州310052

出　　处：《中华超声影像学杂志》2025年第3期260-263,共4页Chinese Journal of Ultrasonography

摘　　要：心脏黏液瘤同时存在于左、右心房,并通过卵圆孔相互连接,形成“哑铃状”外观,此现象罕见。1例10岁11个月的男性患儿因反复运动后呕吐伴右眼痛于外院就诊,超声心动图提示房间隔膨出瘤伴瘤腔内血栓形成,遂来浙江大学医学院附属儿童医院就诊,通过经胸超声心动图、经食管超声心动图、超声造影和经胸实时三维超声心动图等多模态超声心动图技术诊断为骑跨卵圆孔的双心房黏液瘤。患儿接受了心脏直视下手术,切除附着在卵圆窝的双心房黏液瘤。术后复查超声心动图未见明显异常。该病例证明了多模态超声心动图在诊断双心房黏液瘤以及指导外科手术中的重要性。Bilateral atrial myxomas,which exist simultaneously in both the left and right atria and are connected to each other at the foramen ovale,resembling“dumbbell-like”,are very rare.A male child aged 10 years and 11 months presented to an external hospital for vomiting and right eye pain after repeated exercise.Echocardiography showed atrial septal aneurysm accompanied by thrombus formation within the aneurysm.The patient subsequently sought treatment at the Children's Hospital,Zhejiang University School of Medicine,and was diagnosed with bilateral atrial myxoma straddling the foramen ovale using multimodal echocardiographic techniques,such as transthoracic echocardiography,transesophageal echocardiography,contrast-enhanced ultrasound,and transthoracic real-time three-dimensional echocardiography.The patient underwent open-heart surgery to remove bilateral atrial myxomas which adhered to the oval fossa.Postoperative follow-up echocardiography showed no significant abnormalities.This case demonstrates the importance of multimodal echocardiography in the diagnosis and surgical guidance of bilateral atrial myxoma.

关 键 词：超声心动描记术、多模态 双心房黏液瘤 儿童 

分 类 号：R725.4[医药卫生—儿科]