Evaluation of Multi-slice CT and Echocardiography in Diagnosing Multiple Cardiac Myxoma Originated From Special Site of the Heart
10.3969/j.issn.1000-3614.2016.09.004
- VernacularTitle:少见部位心脏黏液瘤的多层计算机断层摄影术和超声心动图诊断评价
- Author:
Wei LI
;
Juan XIA
;
Qingjun SUN
;
Xiaojing MA
;
Li WANG
;
Xin CHEN
;
Qingfeng XIONG
;
Zhiyuan PENG
- Publication Type:Journal Article
- Keywords:
Cardiac myxoma,multiple;
Tomography,x-ray computed
- From:
Chinese Circulation Journal
2016;31(9):844-848
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the necessity of multi-slice CT (MSCT) and echocardiogram in diagnosing multiple cardiac myxoma or myxoma originated from special site of heart via analyzing medical imaging features. Methods: A total of 14 patients with multiple cardiac myxoma or myxoma not originated from left atrium fossa ovale were studied; the patients had operation conifrmed diagnosis in our hospital from 2003-02 to 2015-12, the imaging features of MSCT and echocardiography were analyzed and compared. Results: There were 12/14 patients diagnose by echocardiography with the accuracy of 85.7% and 11 patients diagnosed by MSCT with the accuracy of 84.6%. MSCT and echocardiography had similar pre-operative accuracy and complimentary advantages for diagnosing multiple cardiac myxoma or myxoma not originated from regular site of heart. Echocardiography was superior for examining the motion, pedicle position, shape and attachment point of cardiac myxoma; MSCT may exclude pulmonary embolism and coronary artery disease at meanwhile. Conclusion: Unconventional cardiac myxoma not only has similar image signs to typical single myxoma from left atrium, but also has the speciifc features; MSCT combining echocardiogram examinations could make more accurate diagnosis and provide a better condition for surgical treatment.
