Mediastinal Testicular Tumor Compressing the Left Atrium in a Young Male Presenting Initially with Symptoms of Left Heart Failure
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概要
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Extrinsic left atrial compression is an uncommon source of hemodynamic compromise that can be caused by many mediastinal structures including bronchogenic cysts, carcinoma, lymphoma, thymoma, aortic aneurysm and diaphragmatic hernia. We describe an unusual case of a 26-year-old man presenting with symptoms of left heart failure. Transthoracic echocardiography demonstrated extrinsic left atrial compression caused by a metastatic testis non-seminomatous germ cell tumor. Compression of the left atrium caused impaired left atrial filling, leading to pulmonary venous hypertension and pulmonary edema. To our knowledge, the present case is the first reported case of mediastinal metastatic testis non-seminomatous germ cell tumor causing symptoms of left heart failure by externally compressing the left atrium.
著者
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Pehlivan Yavuz
Departments of Internal Medicine, Sahinbey Medical Center, Gaziantep University, School of Medicine
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Sevinc Alper
Departments of Medical Oncology, Gaziantep Oncology Hospital, Gaziantep University, School of Medici
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Ozer Orhan
Departments of Cardiology Sahinbey Medical Center, Gaziantep University, School of Medicine
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Sari Ibrahim
Departments of Cardiology Sahinbey Medical Center, Gaziantep University, School of Medicine
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Davutoglu Vedat
Departments of Cardiology Sahinbey Medical Center, Gaziantep University, School of Medicine
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Sevinc Alper
Departments of Medical Oncology, Gaziantep Oncology Hospital, Gaziantep University, School of Medicine
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