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KMID : 0368120100400090468
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Korean Circulation Journal
2010 Volume.40 No. 9 p.468 ~ p.470
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Long Journey of Sclerosant From the Esophagus to the Right Atrium
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Park Jin-Sun
Park Jin-Ju
Lim Seung-Kwan
Choi Byoung-Joo
Choi So-Yeon
Yoon Myeong-Ho
Hwang Gyo-Seung
Tahk Seung-Jea
Shin Joon-Han
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Abstract
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A 34-year-old man, who had been treated with an endoscopic injection of a mixture of n-butyl-2-cyanoacrylate (Histoacryl) and Lipiodol for control of variceal bleeding 6 months previously, presented with an intracardiac mass in the right atrium (RA). Two-dimensional echocardiography revealed an intracardiac mass in the RA that appeared to extend from the inferior vena cava. The origin of the sclerosant was traced by computed tomography (CT). This is a very rare case in which the sclerosant migration route was demonstrated by CT scan. The findings of this case suggest that the systemic migration of sclerosant into an intracardiac chamber should be considered in patients with an intracardiac mass, especially with a history of previous sclerotherapy for variceal bleeding.
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KEYWORD
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N-butyl-2-cyanoacrylate, Esophageal varix, Sclerotherapy, Embolism, Right atrium
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