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  1. Public
  2. 研究紀要
  3. Acta Medica Kindai University
  4. 43(1)2018

<Case Reports> Right atrial thrombus mimicking myxoma in antiphospholipid syndrome with secondary immune thrombocytopenic purpura

https://kindai.repo.nii.ac.jp/records/19498
https://kindai.repo.nii.ac.jp/records/19498
9e21b3fe-9a5c-4a08-abd8-8f4d355e146a
名前 / ファイル ライセンス アクション
AA0050842X-20180600-0043.pdf AA0050842X-20180600-0043.pdf (2.3 MB)
Item type ☆紀要論文 / Departmental Bulletin Paper(1)
公開日 2018-07-26
タイトル
タイトル <Case Reports> Right atrial thrombus mimicking myxoma in antiphospholipid syndrome with secondary immune thrombocytopenic purpura
言語 en
著者 Miyashita, Naoya

× Miyashita, Naoya

Miyashita, Naoya

ja-Kana ミヤシタ, ナオヤ

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Onoe, Masahiko

× Onoe, Masahiko

Onoe, Masahiko

ja-Kana オノエ, マサヒコ

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Kaneda, Toshio

× Kaneda, Toshio

Kaneda, Toshio

ja-Kana カネダ, トシオ

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Nakamoto, Susumu

× Nakamoto, Susumu

Nakamoto, Susumu

ja-Kana ナカモト, ススム

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Imura, Masato

× Imura, Masato

Imura, Masato

ja-Kana イムラ, マサト

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Fujii, Kosuke

× Fujii, Kosuke

Fujii, Kosuke

ja-Kana フジイ, コウスケ

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Nishino, Takako

× Nishino, Takako

Nishino, Takako

ja-Kana ニシノ, タカコ

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Yukami, Shintaro

× Yukami, Shintaro

Yukami, Shintaro

ja-Kana ユカミ, シンタロウ

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Hamada, Ryusuke

× Hamada, Ryusuke

Hamada, Ryusuke

ja-Kana ハマダ, リュウスケ

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Kakutani, Hiroaki

× Kakutani, Hiroaki

Kakutani, Hiroaki

ja-Kana カクタニ, ヒロアキ

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Maenishi, Osamu

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Maenishi, Osamu

ja-Kana マエニシ, オサム

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Saga, Toshihiko

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Saga, Toshihiko

ja-Kana サガ, トシヒコ

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言語
言語 eng
キーワード
主題 Cardiac thrombus, Antiphospholipid syndrome, Immune thrombocytopenic purpura, Myxoma
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ departmental bulletin paper
著者 所属
値 Department of Cardiovascular surgery, Kindai University Faculty of medicine
著者 所属
値 Department of Cardiovascular surgery, Kindai University Faculty of medicine
著者 所属
値 Department of Cardiovascular surgery, Kindai University Faculty of medicine
著者 所属
値 Department of Cardiovascular surgery, Kindai University Faculty of medicine
著者 所属
値 Department of Cardiovascular surgery, Kindai University Faculty of medicine
著者 所属
値 Department of Cardiovascular surgery, Kindai University Faculty of medicine
著者 所属
値 Department of Cardiovascular surgery, Kindai University Faculty of medicine
著者 所属
値 Department of Cardiovascular surgery, Kindai University Faculty of medicine
著者 所属
値 Department of Cardiovascular surgery, Kindai University Faculty of medicine
著者 所属
値 Division of Hematology, Department of Internal Medicine, Kindai University Faculty of Medicine
著者 所属
値 Department of Pathology, Kindai University Faculty of Medicine
著者 所属
値 Department of Cardiovascular surgery, Kindai University Faculty of medicine
版
出版タイプ NA
出版タイプResource http://purl.org/coar/version/c_be7fb7dd8ff6fe43
出版者 名前
出版者 Kindai University Medical Association
書誌情報 en : ACTA MEDICA KINDAI UNIVERSITY

巻 43, 号 1, p. 43-49, 発行日 2018-06
ISSN
収録物識別子タイプ ISSN
収録物識別子 03866092
抄録
内容記述タイプ Abstract
内容記述 [Abstract] A 22-year-old woman was referred to our hospital due to a large right atrial mass. Echocardiography showed the mass to be pedunculated,mobile, partially calcified, internally heterogeneous,and with a rough surface. Computed tomography showed internal calcification and heterogeneity.On magnetic resonance imaging, the mass was isointense to hypointense on T1-weighted images and hypointense to hyperintense on T2-enhanced images. Simultaneously, laboratory work-up revealed antiphospholipid syndrome (APS) with secondary immune thrombocytopenic purpura (ITP). We could not definitively differentiate between myxoma or cardiac thrombus associated with APS. Preoperatively,the patient was administered γ-globulin and methylprednisolone due to ITP. Surgical resection of the mass was performed in order to avoid incarceration to the tricuspid valve or embolization. Based on gross and histologic findings, the cardiac mass was diagnosed as a thrombus. She was discharged with no postoperative bleeding. APS-associated cardiac thrombus is rare. It is difficult to distinguish APS-associated cardiac thrombus from myxoma. Moreover, ITP sometimes occurs as a complication in patients with APS. We experienced a case of right atrial thrombus mimicking myxoma in a patient with APS and secondary ITP.
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内容記述タイプ Other
内容記述 application/pdf
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