Irani Adel D, Estrera Anthony L, Buja L Maximilian, Safi Hazim J
Department of Cardiothoracic and Vascular Surgery, the University of Texas at Houston Medical School, Houston , TX, USA.
J Card Surg. 2008 Jul-Aug;23(4):385-90. doi: 10.1111/j.1540-8191.2007.00545.x. Epub 2008 Jul 1.
In surgical series, a majority of benign cardiac tumors are myxomas. Of these, only about 2.5% are biatrial. Only 10 cases have been reported in the last 10 years. We present here a successful case in a 51-year-old man. A brief review of the literature is presented to place this case in context.
The tumor was removed surgically via a midline sternotomy using cardiopulmonary bypass. Both left and right atrial extensions of the tumor mass were removed. The resection involved the entire septum, with a bovine patch used to reconstruct the atrial septum.
Patient recovered uneventfully. We advised follow-up evaluation using transthoracic echocardiography annually.
Biatrial myxoma is a very rare condition, with diagnostic challenges, but is amenable to modern surgical approaches.
在外科手术系列中，大多数良性心脏肿瘤是黏液瘤。其中，只有约2.5%是双侧心房的。在过去10年中仅报道了10例。我们在此介绍一名51岁男性的成功病例。并对文献进行简要回顾以将该病例置于相应背景中。
通过正中胸骨切开术并使用体外循环对肿瘤进行手术切除。切除了肿瘤团块在左、右心房的延伸部分。切除范围包括整个房间隔，使用牛心包补片重建房间隔。
患者恢复顺利。我们建议每年使用经胸超声心动图进行随访评估。
双侧心房黏液瘤是一种非常罕见的疾病，诊断具有挑战性，但适合现代手术方法。
