Yoon S J, Park S C, You Y P, Kim B Y, Kim M K, Jeong K T, Lee J W
Department of Internal Medicine, Eul-Ji University of Medicine, Taejon, Korea.
Korean J Intern Med. 2000 Dec;15(3):236-9. doi: 10.3904/kjim.2000.15.3.236.
We report a case of multicentric, biatrial cardiac myxoma in a 29-year-old female who complained of exertional dyspnea, abdominal distension and peripheral edema. Any other associated skin lesions, breast mass or endocrine disorder presenting complex form were' not seen on her. Also, there was no contributory medical history, hypertension and diabetes mellitus. By using transthoracic echocardiography, we identified a biatrial myxoma attached to the interatrial septum. During surgical excision, we found a large right atrial myxoma with extension through the fossa ovalis into the left atrium and small myxoma attached to the right atrial free wall. After successful resection of interatrial septum and free wall, atrial septal defect was created during the resection and safely repaired by bovine pericardial patch.
我们报告一例29岁女性的多中心双房心脏黏液瘤病例,该患者主诉劳力性呼吸困难、腹胀和外周水肿。未发现其有任何其他相关的皮肤病变、乳腺肿块或呈现复杂形式的内分泌紊乱。此外,她没有相关病史、高血压和糖尿病。通过经胸超声心动图,我们发现一个附着于房间隔的双房黏液瘤。手术切除时,我们发现一个巨大的右房黏液瘤,通过卵圆窝延伸至左心房,还有一个小黏液瘤附着于右房游离壁。成功切除房间隔和游离壁后,切除过程中造成了房间隔缺损,并使用牛心包补片安全修复。