quarta-feira, junho 02, 2010
Embolia de tumor primário cardíaco
Primary Cardiac Leiomyosarcoma
When Valvular Disease Becomes a Vascular Surgical Emergency
A 50-year-old previously healthy woman was referred to our department for suspected mitral valve endocarditis because of a 3-week history of fever, weight loss, and the echocardiographic discovery of a mitral valve mass. On admission, the patient was cachectic (body mass index of 18 kg/m2) and subfebrile (37.5°C) with dyspnea at rest, jugular vein distension, and tender liver enlargement. Her heart examination showed regular tachycardia (100 bpm), apical systolic murmur (3/6 degree), and diastolic rumble.
Caso impressionante de tumor primário cardíaco publicado na indispensável revista Circulation.
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