Parsons Alden M, Detterbeck Frank C
Division of Cardiothoracic Surgery, Department of Surgery, University of North Carolina, Chapel Hill, North Carolina 27599-7065, USA.
Ann Thorac Surg. 2003 Apr;75(4):1323-4. doi: 10.1016/s0003-4975(02)04563-0.
Multifocal cardiac myxoma with greater than two foci is rarely reported in the literature. We report a case of a 22-year-old woman who presented with profound right heart failure, and was found to have seven right atrial myxomas with bilateral pulmonary embolism, including near-complete occlusion of right pulmonary arterial flow. Multifocal atrial myxoma occurs most often in the familial setting, and often is associated with recurrence. Her disease was nonfamilial. She was successfully treated with surgical resection, and has had complete recovery with no evidence of recurrence over a 4-year period.
文献中很少报道有超过两个病灶的多灶性心脏黏液瘤。我们报告一例22岁女性患者，该患者出现严重的右心衰竭，被发现有七个右心房黏液瘤并伴有双侧肺栓塞，包括右肺动脉血流几乎完全阻塞。多灶性心房黏液瘤最常发生于家族性病例中，且常与复发相关。该患者的疾病并非家族性。她通过手术切除成功治愈，并且在4年期间完全康复，没有复发迹象。
