Toda R, Moriyama Y, Shiota K, Toyohira H, Taira A
Second Department of Surgery, Faculty of Medicine, Kagoshima University, Japan.
Jpn J Thorac Cardiovasc Surg. 1999 Jun;47(6):285-7. doi: 10.1007/BF03218012.
A 20-year-old man was hospitalized for persistent fever, embolism, and syncopal attack. Echocardiography demonstrated a tumor on the mitral posterior leaflet. It was removed under extracorporeal circulation following extirpation of thrombus in the right common like artery. The tumor consisted of myxoma and vegetation with bacterial colony. Myxoma and/or vegetation had destroyed the mitral posterior leaflet. Accordingly, it was necessary to perform mitral valve replacement. The postoperative course was uneventful. This is the 14th surgical case of mitral valve myxoma, and the first case of that associated with infective endocarditis.
一名20岁男性因持续发热、栓塞和晕厥发作入院。超声心动图显示二尖瓣后叶有一个肿瘤。在切除右股总动脉血栓后，在体外循环下将其切除。肿瘤由黏液瘤和带有细菌菌落的赘生物组成。黏液瘤和/或赘生物已破坏二尖瓣后叶。因此，有必要进行二尖瓣置换术。术后过程顺利。这是二尖瓣黏液瘤的第14例手术病例，也是首例合并感染性心内膜炎的病例。
