摘要
1例58岁女性患者因近三周来心力衰竭进行性加重就诊。因患者有外周水肿及舒张期杂音,行超声心动图检查,结果显示二尖瓣狭窄和左房内血栓。三维CT显示左房内大范围血栓仅未累及肺静脉口。
A 58-year old woman was referred because of progressive heart failure since three weeks. Because of peripheral oedema and the presence of a diastolic murmur an echocardiography is performed showing a mitral stenosis and the presence of a thrombus in the left atrium. We present 3-D Computed Tomography(CT) images that show the massive extent of the left atrial thrombus only sparing the ostia of the pulmonary veins. A clue for diagnosis for mitral stenosis is the presence of an rumbling mid-diastolic murmur.