Bayir H, Morelli P J, Smith T H, Biancaniello T A
Department of Pediatrics, University Hospital, SUNY at Stony Brook, New York 11794-8111, USA.
Pediatr Neurol. 1999 Aug;21(2):569-72. doi: 10.1016/s0887-8994(99)00024-7.
A 14-year-old female presented with common clinical findings for a rare primary intracardiac tumor. Primary cardiac tumors are rare in all age groups, occurring in 0.05% of routine postmortem examinations. Pediatric primary cardiac tumors are likewise uncommon, with the most common being a rhabdomyoma. Atrial myxomas occur infrequently in the pediatric age group. They occur primarily between the third and sixth decade, making them the most common adult primary cardiac tumor. The following case presentation demonstrates a common clinical presentation for an intracardiac mass rarely diagnosed in the pediatric population. This patient's acute neurologic symptoms required prompt recognition of an intracardiac etiology. This recognition proved critical for the acute and long-term medical and surgical management of this patient.
一名14岁女性患者表现出罕见的原发性心脏肿瘤的常见临床症状。原发性心脏肿瘤在所有年龄组中都很罕见，在常规尸检中发生率为0.05%。小儿原发性心脏肿瘤同样不常见，最常见的是横纹肌瘤。心房黏液瘤在儿童年龄组中很少见。它们主要发生在第三个和第六个十年之间，使其成为最常见的成人原发性心脏肿瘤。以下病例展示了一种在儿科人群中很少被诊断出的心脏肿块的常见临床表现。该患者的急性神经症状需要迅速识别出心脏病因。这一识别对于该患者的急性和长期医疗及手术管理至关重要。
