| Autor: |
Fischer JL; Krankenhaus München-Neuperlach, 2. Medizinische Abteilung/Kardiologie und Pneumologie., Antoni D, Quadbeck J, Kramer H, Tiefenböck G, Aschenbrenner G, Strohm H, Krieg HJ, Fuchs C, Gross S, Schlemmer M, Nibler K, Garbrecht M, Henselmann L, Bültmann B |
| Jazyk: |
němčina |
| Zdroj: |
Zeitschrift fur Kardiologie [Z Kardiol] 1997 Oct; Vol. 86 (10), pp. 848-56. |
| DOI: |
10.1007/s003920050123 |
| Abstrakt: |
We report about a 66-year old patient with Non-Q-wave infarction in coronary artery two-vessel disease. During an echo- and transesophageal multiplane echocardiography preoperatively before a coronary artery bypass surgery a right atrium septal tumor of unknown form was discovered. The computerized axial tomography (CAT) and nuclear magnetic resonance (NMR) scans did not demonstrate extracardiac pathologic findings. A transesophageal echocardiography-guided biopsy of the right atrial septum over the vena femoralis and the right atrium enabled intra vitam a very early diagnosis of high malignant B-cell Non-Hodgkin-lymphoma without the need for thoracotomy. The diagnosis was confirmed histopathologically and immunohistochemically and early treatment with cytostatic therapy could begin. To our knowledge the transesophageal echocardiography-guided biopsy has never been described in the worldwide literature. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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