Kottkamp H, Emmerich K, Krater L, Minale C, Gülker H
Medizinische Klinik B, Städtische Kliniken Wuppertal.
Z Kardiol. 1992 Feb;81(2):85-91.
Left-atrial myxomas produce a broad array of clinical symptoms depending on their location, size, and morphology. The clinical presentation is characterized by obstruction of blood flow, systemic embolism, and unspecific systemic effects. Within 6 weeks, three patients presented in our clinic with left-atrial myxomas. Primary differential diagnoses were infective endocarditis, circulatory collapse, and transient ischemic attack of unknown origin. In all cases diagnosis was made with echocardiography (m-mode, 2D, TEE). In this review the etiology, epidemiology, and pathology are reported briefly. The variety of clinical symptoms with the corresponding differential diagnosis is presented systematically and discussed with our patients. Diagnostic, therapeutic, and prognostic aspects are summarized.
左心房黏液瘤根据其位置、大小和形态会产生一系列广泛的临床症状。临床表现的特征为血流梗阻、全身栓塞和非特异性全身影响。在6周内，有3例左心房黏液瘤患者前来我院就诊。主要鉴别诊断包括感染性心内膜炎、循环衰竭和不明原因的短暂性脑缺血发作。所有病例均通过超声心动图（M型、二维、经食管超声心动图）做出诊断。本文简要报告了病因、流行病学和病理学。系统介绍了各种临床症状及相应的鉴别诊断，并与我们的患者进行了讨论。总结了诊断、治疗和预后方面的情况。
