ARareCaseWithPulmonaryandCardiacInflammatory.pptVIP

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ARareCaseWithPulmonaryandCardiacInflammatory.ppt

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A Rare Case With Pulmonary and Cardiac Inflammatory Myofibroblastic Tumor by Yong Jiang, Jing Ping Sun, Minjie Lu, Yang Sun, Linyuan Wan, Hong Zhao, Cheuk-man Yu, and Hao Wang Circulation Volume 131(22):e511-e513 June 2, 2015 Copyright ? American Heart Association, Inc. All rights reserved. Chest x-ray. Yong Jiang et al. Circulation. 2015;131:e511-e513 Copyright ? American Heart Association, Inc. All rights reserved. The ECG showed sinus rhythm and left atrial enlargement demonstrated by a bifid P wave with 40 milliseconds between the 2 peaks and total P-wave duration 110 milliseconds in lead II. A biphasic P wave is seen with a terminal negative portion that is 40 milliseconds in duration and 1 mm deep in V1. . Yong Jiang et al. Circulation. 2015;131:e511-e513 Copyright ? American Heart Association, Inc. All rights reserved. A, Echocardiography in the parasternal long-axis view showed a mass (*) in the left atrium (LA) and a blocked left ventricular (LV) inflow tract. Yong Jiang et al. Circulation. 2015;131:e511-e513 Copyright ? American Heart Association, Inc. All rights reserved. Pathology. Yong Jiang et al. Circulation. 2015;131:e511-e513 Copyright ? American Heart Association, Inc. All rights reserved. Chest x-ray. A, Posterior-anterior view showed that the cardiothoracic ratio was increased, and a high density was noted behind the heart (arrow). B, Left lateral view showed an enlarged left atrium and an abnormally high density (arrow) at the region of the lower left pulmonary hilar. The ECG showed sinus rhythm and left atrial enlargement demonstrated by a bifid P wave with 40 milliseconds between the 2 peaks and total P-wave duration 110 milliseconds in lead II. A biphasic P wave is seen with a terminal negative portion that is 40 milliseconds in duration and 1 mm deep in V1. A, Echocardiography in the parasternal long-axis view showed a mass (*) in the left atrium (LA) and a blocked left ventricular (LV) inflow tract. B, Atypical 4-chamber view showed a