Item type |
☆紀要論文 / Departmental Bulletin Paper(1) |
公開日 |
2018-07-26 |
タイトル |
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タイトル |
<Case Reports> Right atrial thrombus mimicking myxoma in antiphospholipid syndrome with secondary immune thrombocytopenic purpura |
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言語 |
en |
著者 |
Miyashita, Naoya
Onoe, Masahiko
Kaneda, Toshio
Nakamoto, Susumu
Imura, Masato
Fujii, Kosuke
Nishino, Takako
Yukami, Shintaro
Hamada, Ryusuke
Kakutani, Hiroaki
Maenishi, Osamu
Saga, Toshihiko
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言語 |
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言語 |
eng |
キーワード |
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主題 |
Cardiac thrombus, Antiphospholipid syndrome, Immune thrombocytopenic purpura, Myxoma |
資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
departmental bulletin paper |
著者 所属 |
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値 |
Department of Cardiovascular surgery, Kindai University Faculty of medicine |
著者 所属 |
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値 |
Department of Cardiovascular surgery, Kindai University Faculty of medicine |
著者 所属 |
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値 |
Department of Cardiovascular surgery, Kindai University Faculty of medicine |
著者 所属 |
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値 |
Department of Cardiovascular surgery, Kindai University Faculty of medicine |
著者 所属 |
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値 |
Department of Cardiovascular surgery, Kindai University Faculty of medicine |
著者 所属 |
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値 |
Department of Cardiovascular surgery, Kindai University Faculty of medicine |
著者 所属 |
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値 |
Department of Cardiovascular surgery, Kindai University Faculty of medicine |
著者 所属 |
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値 |
Department of Cardiovascular surgery, Kindai University Faculty of medicine |
著者 所属 |
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値 |
Department of Cardiovascular surgery, Kindai University Faculty of medicine |
著者 所属 |
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値 |
Division of Hematology, Department of Internal Medicine, Kindai University Faculty of Medicine |
著者 所属 |
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値 |
Department of Pathology, Kindai University Faculty of Medicine |
著者 所属 |
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値 |
Department of Cardiovascular surgery, Kindai University Faculty of medicine |
版 |
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出版タイプ |
NA |
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出版タイプResource |
http://purl.org/coar/version/c_be7fb7dd8ff6fe43 |
出版者 名前 |
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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
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ISSN |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
03866092 |
抄録 |
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内容記述タイプ |
Abstract |
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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. |
フォーマット |
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内容記述タイプ |
Other |
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内容記述 |
application/pdf |