Gismondi Ronaldo Altenburg Odebrecht Curi, Kaufman Renato, Correa Gabriel Angelo de Cata Preta, Nascimento César, Weitzel Luiz Henrique, Reis José Oscar Brito, da Rocha Antônio Sérgio Cordeiro, da Cunha Ademir Batista
Instituto Nacional de Cardiologia Laranjeiras, Niterói, RJ, Brazil.
Arq Bras Cardiol. 2007 Jan;88(1):e1-3. doi: 10.1590/s0066-782x2007000100021.
We describe a case of a 67 year-old patient with obstructive coronary artery disease that, in the preoperative survey for inguinal herniorraphy surgery, discovered, by a two-dimensional echocardiogram, a tumor in left atrium, mobile, non-obstructive. The patient underwent a cineangiocoronariography showing severe stenosis in the left anterior descending artery, moderate stenosis in the left circumflex artery, near the origin of the first marginal branch, and a non-obstructive plaque in the right coronary artery. There was also moderate left ventricular dysfunction. After that, the patient has gone coronary artery bypass surgery and resection of the left atrial tumor. The histological exam revealed that the tumor was, in fact, a myxoma.
我们描述了一例67岁患有阻塞性冠状动脉疾病的患者，在腹股沟疝修补术的术前检查中，通过二维超声心动图发现左心房有一个活动的、非阻塞性肿瘤。该患者接受了冠状动脉造影，显示左前降支严重狭窄，左旋支在第一边缘支起源处附近中度狭窄，右冠状动脉有一个非阻塞性斑块。同时存在中度左心室功能障碍。此后，该患者接受了冠状动脉搭桥手术和左心房肿瘤切除术。组织学检查显示该肿瘤实际上是一个黏液瘤。
