Chen Z D
Second Affiliated Hospital, Harbin Medical University, Heilong-jiang.
Zhonghua Wai Ke Za Zhi. 1991 Apr;29(4):233-4, 270-1.
43 patients with cardiac myxoma had undergone surgical removal of the tumors under CPB 38 tumors were located in the left atrium, 5 in right atrium, and 1 in right ventricle respectively. The sites of attachment of the tumor stalk observed during operation were as follows: 34 left atrial myxomas were attached to the interatrial septum and 4 left atrial myxomas to the atrial wall. 5 right atrial myxomas were attached to the interatrial septum and 1 right ventricular myxoma to the ventricular wall. 1 patient with a right ventricular myxoma which had been removed one year ago appeared new one in the left atrium and the tumor was cut too. The diagnosis of cardiac myxoma was confirmed by 2D-echo-cardiography in all of our cases. Mitral valve replacement was done in 1 patient in this series. There was one death postoperatively. Besides these 43 cases, there were 9 patients who had not been operated upon, because of refusal of operation in 5, sudden death from cardiac arrest before operation in 2, coma from cerebral thrombosis in 1, and serious pulmonary tuberculosis in another one respectively.
43例心脏黏液瘤患者在体外循环下接受了肿瘤切除术。38例肿瘤位于左心房,5例位于右心房,1例位于右心室。手术中观察到的肿瘤蒂附着部位如下:34例左心房黏液瘤附着于房间隔,4例左心房黏液瘤附着于心房壁。5例右心房黏液瘤附着于房间隔,1例右心室黏液瘤附着于心室壁。1例1年前已切除右心室黏液瘤的患者左心房出现新的肿瘤,该肿瘤也被切除。所有病例均经二维超声心动图确诊为心脏黏液瘤。本系列中有1例患者进行了二尖瓣置换术。术后有1例死亡。除这43例患者外,还有9例患者未接受手术,原因分别为5例拒绝手术,2例术前因心脏骤停猝死,1例因脑血栓形成昏迷,另1例患有严重肺结核。