| Japanese |
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| Title | 両心房内巨大球状血栓症の一例 |
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| Subtitle | 症例 |
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| Authors | 藤松利浩*, 大澤肇*, 高井文恵*, 有賀雅和**, 荻原史明**, 馬渡栄一郎**, 櫻井俊平** |
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| Authors(kana) | |
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| Organization | *相澤病院心臓病大動脈センター心臓血管外科, **相澤病院心臓病大動脈センター循環器科 |
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| Journal | 循環制御 |
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| Volume | 29 |
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| Number | 1 |
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| Page | 63-66 |
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| Year/Month | 2008/5 |
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| Article | 報告 |
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| Publisher | 日本循環制御医学会 |
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| Abstract | 「緒言」非常に稀な両心房内球状血栓症を経験したので, 若干の文献的考察を加えて報告する. 「症例」症例：71歳. 男性. 主訴：動悸, 呼吸困難. 既往歴：心房細動(内服(−)). 現病歴：3年前から健康診断で心房細動を指摘されていた. 2006年11月の夜間に突然動悸, 呼吸困難が出現し, 翌日近医を受診し, 心不全および頻脈性心房細動の診断で当院に紹介され入院となった. 入院時現症：血圧169/128mmHg, 脈拍120回/分, 不整, 心音に異常は認めなかった. 肺音は清明で, ラ音は認めなかった. 両下肢に浮腫を認めた. 入院時検査成績：一般血液, 生化学検査に異常はなく, また出血, 凝固検査(表1)でも特別な所見は認めなかった. 胸部X線：心胸郭比67%で心拡大を認め, 肺うっ血および少量の両側胸水を認めた. 心電図：HR159回/分で頻脈性心房細動と完全左脚ブロックを認めた. 心エコー図：救急外来では坐位で左室駆出率33%と低左心機能を示した. 径50mmと左房拡大を認めた. 原疾患の確定には至らなかったが, これらより頻脈性心房細動および低左心機能を伴う心不全と診断, 内科的治療を行った. 入院5日目には, 胸部症状が全くなくなり, 胸部X線で肺うっ血, 胸水が消失し, 脈拍も60回/分と安定した. |
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| Practice | 基礎医学・関連科学 |
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| Keywords | biatrial giant ball thrombosis, atrial fibrillation, cardiac failure |
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| English |
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| Title | A Case of Biatrial Giant Ball Thrombosis |
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| Authors | Toshihiro Fujimatsu*, Hajime Osawa*, Fumie Takai*, Masakazu Aruga**, Fumiaki Ogiwara**, Eiichiro Mawatari**, Shunpei Sakurai** |
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| Authors(kana) | |
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| Organization | *Department of Cardiovascular Surgery, Heart Center, Aizawa Hospital, **Department of Cardiology, Heart Center, Aizawa Hospital |
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| Journal | Circulation Control |
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| Volume | 29 |
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| Number | 1 |
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| Page | 63-66 |
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| Year/Month | 2008/5 |
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| Article | Report |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | We have reported a very rare case of biatrial ball thrombosis. A 71-year-old man was admitted with cardiac failure and tachycardia of atrial fibrillation. He had a long history of atrial fibrillation without anticoagulation therapy. Cardiac failure and tachycardia were improved with medical therapy. Echocardiography showed biatrial giant tumors. Removal of the tumors was carried out with the aid of cardiopulmonary bypass. Pathological examination revealed that the right and left atrial tumors were both organized thromboses. His postoperative course was uneventful, and he was discharged on the 17th postoperative day. Only atrial fibrillation is considered to have had an important role in the etiology of biatrial thrombosis. Therefore we suggest that he should be kept on anticoagulation to avoid recurrence of intra-cardiac thrombosis. |
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| Practice | Basic medicine |
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| Keywords | biatrial giant ball thrombosis, atrial fibrillation, cardiac failure |
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