左心房黏液瘤一例因血肿行急诊手术。

Emergency surgery due to haematoma in a case of left atrial myxoma.

作者信息

Birim Ozcan, de Jong Peter L, Galema Tjebbe W, Kappetein A Pieter, Bogers Ad J J C

机构信息

Department of Cardio-thoracic Surgery, Room BD 156, Erasmus MC Rotterdam, P.O. Box 2040, Dr. Molewaterplein 40, 3015 GD, 3000 CA Rotterdam, The Netherlands.

出版信息

Heart Lung Circ. 2006 Jun;15(3):191-3. doi: 10.1016/j.hlc.2005.11.004. Epub 2006 Feb 7.

DOI:10.1016/j.hlc.2005.11.004

PMID:16455301

Abstract

Atrial myxomas generally do not require urgent surgery. We report on a 78-year-old woman in whom transesophageal echography revealed a large left atrial myxoma. She acutely developed dyspnoea, tachypnoea, and forward failure necessating urgent surgery. The myxoma was surgically removed and showed a haematoma. The most likely reason for the deteriorating condition was acute enlargement of the myxoma due to intramyxomal haemorrhage. This case illustrates that the clinical condition of patients with symptomatic myxoma can deteriorate suddenly and require urgent surgical treatment.

摘要

心房黏液瘤一般不需要急诊手术。我们报告了一名78岁女性，经食管超声心动图显示其左心房有一个大的黏液瘤。她突然出现呼吸困难、呼吸急促和心力衰竭，需要急诊手术。该黏液瘤经手术切除，显示为血肿。病情恶化最可能的原因是黏液瘤内出血导致黏液瘤急性增大。该病例表明，有症状的黏液瘤患者的临床状况可能突然恶化，需要急诊手术治疗。