Kalra P A, Raghavan C, Hassan R, Lawson R, Waldek S
Renal Unit, Hope Hospital, Salford, UK.
Clin Nephrol. 1992 Jun;37(6):294-6.
A case of right atrial myxoma presenting with right heart failure and proteinuria is described. Proteinuria was variable and this corresponded with the degree of systemic venous congestion. On one occasion the proteinuria was within the nephrotic range. There was no evidence of intrinsic renal pathology. The right heart failure and proteinuria resolved after tumour removal, suggesting that the etiology of urinary protein loss was a reversible increase in glomerular permeability.
本文描述了一例以右心衰竭和蛋白尿为表现的右心房黏液瘤病例。蛋白尿情况多变，且与体静脉充血程度相对应。有一次蛋白尿处于肾病范围。未发现存在内在肾脏病变的证据。肿瘤切除后，右心衰竭和蛋白尿得以缓解，提示尿蛋白丢失的病因是肾小球通透性的可逆性增加。
