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右心室黏液瘤的诊断特征。

Diagnostic features of right ventricular myxoma.

作者信息

Snyder S N, Smith D C, Lau F Y, Turner A F

出版信息

Am Heart J. 1976 Feb;91(2):240-8. doi: 10.1016/s0002-8703(76)80580-7.

DOI:10.1016/s0002-8703(76)80580-7
PMID:1246933
Abstract

The clinical diagnostic features of right ventricular myxoma are described in a recent patient and related to the 15 cases previously reported. The presence of a pulmonic systolic ejection murmur with a delayed (120 to 140 msec.) and accentuated pulmonic second sound, or calcification in the region of the right ventricular outflow tract should suggest this lesion. Cardiac catheterization with angiocardiography in diagnostic. Ga scanning may assist in the diagnosis and followup after surgical removal of the myxoma. Early surgical removal will avoid the possibility of sudden death.

摘要

近期一名患者的右心室黏液瘤临床诊断特征被描述,并与之前报道的15例病例相关。出现肺动脉收缩期喷射性杂音且肺动脉第二心音延迟(120至140毫秒)和增强,或右心室流出道区域钙化,应提示存在此病变。诊断性心导管检查及心血管造影术是必要的。镓扫描有助于诊断及黏液瘤手术切除后的随访。早期手术切除可避免猝死的可能性。

相似文献

1
Diagnostic features of right ventricular myxoma.右心室黏液瘤的诊断特征。
Am Heart J. 1976 Feb;91(2):240-8. doi: 10.1016/s0002-8703(76)80580-7.
2
Left atrial myxoma: hemodynamic and phonocardiographic features.左心房黏液瘤:血流动力学和心音图特征。
Am J Med. 1972 Apr;52(4):525-32. doi: 10.1016/0002-9343(72)90043-5.
3
Atrial myxoma. II. Phonocardiographic, echocardiographic, hemodynamic, and angiographic features in nine cases.心房黏液瘤。II. 9例患者的心音图、超声心动图、血流动力学及血管造影特征
Am Heart J. 1972 Jun;83(6):810-23. doi: 10.1016/0002-8703(72)90215-3.
4
Right atrial myxoma with right to left shunt and polycythemia presenting as congenital heart disease.表现为先天性心脏病的伴有右向左分流及红细胞增多症的右心房黏液瘤。
Am J Cardiol. 1972 Jul 11;30(1):82-6. doi: 10.1016/0002-9149(72)90130-0.
5
Echocardiographic, angiocardiographic, and surgical correlations in right ventricular myxoma simulating valvar pulmonic stenosis.模拟肺动脉瓣狭窄的右心室黏液瘤的超声心动图、心血管造影及手术相关性
Circulation. 1977 Apr;55(4):619-22. doi: 10.1161/01.cir.55.4.619.
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[Left ventricular myxoma with special reference to diagnostic approach: report of a case].
J Cardiogr. 1982 Jun;12(2):545-51.
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Tricuspid and pulmonary valve obstruction relieved by removal of a myxoma of the right ventricle.
Am J Cardiol. 1973 Jul;32(1):101-4. doi: 10.1016/s0002-9149(73)80093-1.
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[Case of myxoma of the left atrium diagnosed through exploration of arterial emboli--a case report and literature review].[通过动脉栓塞探查诊断左心房黏液瘤 1 例——病例报告及文献复习]
Kyobu Geka. 1971;24(8):543-53.
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Atrial myxoma with cerebellar signs: a case report.伴有小脑体征的心房黏液瘤:一例报告
J Med Case Rep. 2020 Feb 13;14(1):29. doi: 10.1186/s13256-020-2356-5.
2
Right ventricular outflow tract obstruction secondary to small intestinal lymphoma.小肠淋巴瘤继发右心室流出道梗阻
Br Heart J. 1980 May;43(5):593-6. doi: 10.1136/hrt.43.5.593.
3
Primary cardiac tumors.原发性心脏肿瘤
Ann Surg. 1980 Feb;191(2):127-38. doi: 10.1097/00000658-198002000-00001.
4
Imaging procedures in the detection of cardiac tumors, with emphasis on echocardiography: a review.心脏肿瘤检测中的成像程序,重点是超声心动图:综述
Cardiovasc Intervent Radiol. 1980;3(3):107-25. doi: 10.1007/BF02552329.