cardiotomskСибирский журнал клинической и экспериментальной медициныSiberian Journal of Clinical and Experimental Medicine2713-29272713-265XTSU publishing10.29001/2073-8552-2019-34-1-130-136cardiotomsk-692Research ArticleСЛУЧАИ ИЗ ПРАКТИКИCASESДИАГНОСТИКА И ЭКСТРЕННОЕ ХИРУРГИЧЕСКОЕ ЛЕЧЕНИЕ ГИГАНТСКОЙ САРКОМЫ ЛЕВОГО ПРЕДСЕРДИЯ: КЛИНИЧЕСКИЕ СЛУЧАИDIAGNOSIS AND EMERGENCY SURGICAL TREATMENT OF GIANT LEFT ATRIAL SARCOMA: CLINICAL CASESГогинГ. Е.GoginG. E.

канд. мед. наук, врач отделения функциональной диагностики, 121359, Москва, ул. Маршала Тимошенко, 15;

доцент кафедры терапии, кардиологии и функциональной диагностики с курсом нефрологии

Cand. Sci. (Med.), Physician of Functional Diagnostics Department, 15, Marshal Timoshenko str., Moscow, 121359;

Assistant Professor of the Department of Therapy, Cardiology and Functional Diagnostics with a Course of Nephrology

gegogin@mail.ruЕреминаН. В.EreminaN. V.

канд. мед. наук, врач отделения функциональной диагностики,

117420, Москва, ул. Наметкина, 16, корп. 4

Cand. Sci. (Med.), Physician of Functional Diagnostics Department, 

16, building 4, Nametkina str., Moscow, 117420

МолочковА. В.MolochkovA. V.

д-р мед. наук, начальник Центра лечения сердечно-сосудистых заболеваний, заведующий кардиохирургическим отделением, 

121359, Москва, ул. Маршала Тимошенко, 15

Dr. Sci. (Med.), Head of the Center for the Treatment of Cardiovascular Diseases, Chief of the Cardiac Surgery Department, 

15, Marshal Timoshenko str., Moscow, 121359

АлехинМ. Н.AlekhinM. N.

д-р мед. наук, заведующий отделением функциональной диагностики, 121359, Москва, ул. Маршала Тимошенко, 15;

профессор кафедры терапии, кардиологии и функциональной диагностики с курсом нефрологии

 

Dr. Sci. (Med.), Chief of Functional Diagnostics Department, Central Clinical Hospital of the Presidential Administration of the Russian Federation? 15, Marshal Timoshenko str., Moscow, 121359;

Professor of the Department of Therapy, Cardiology and Functional Diagnostics with a Course of Nephrology

Центральная клиническая больница с поликлиникой Управления делами Президента Российской Федерации; Центральная государственная медицинская академия Управления делами Президента Российской ФедерацииРоссияCentral Clinical Hospital of the Presidential Administration of the Russian Federation; Central State Medical Academy of the Presidential Administration of the Russian FederationRussian FederationОтраслевой клинико-диагностический центр ПАО «Газпром»РоссияBranch Clinical Diagnostic Center of PJSC «Gazprom»Russian FederationЦентральная клиническая больница с поликлиникой Управления делами Президента Российской ФедерацииРоссияCentral Clinical Hospital of the Presidential Administration of the Russian FederationRussian Federation201922042019341130136Copyright © Гогин Г.Е., Еремина Н.В., Молочков А.В., Алехин М.Н., 20192019Гогин Г.Е., Еремина Н.В., Молочков А.В., Алехин М.Н.Gogin G.E., Eremina N.V., Molochkov A.V., Alekhin M.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.sibjcem.ru/jour/article/view/692

Представлены два клинических случая поздней первичной диагностики саркомы сердца с необычным внутриполостным ростом в левое предсердие (ЛП) с обструкцией левого атриовентрикулярного (АВ) отверстия, потребовавших экстренного хирургического вмешательства. Описано разнообразие сопутствующих клинических симптомов, маскировавших основной патологический процесс и затруднявших дифференциальную диагностику.

We present two clinical cases of the late primary diagnosis of cardiac sarcoma with an unusual intracavitary growth in the left atrium with the left atrioventricular orifice obstruction requiring an emergency surgical intervention. A variety of concomitant clinical symptoms that mask the underlying pathological process and impede differential diagnosis has been described.

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The authors declare that there are no conflicts of interest present.