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左心房巨大黏液瘤:病例报告

Giant myxoma in the left atrium: case report.

作者信息

Vale Marcos de Paula, Freire Sobrinho Adalberto, Sales Marcos Vinícius, Teixeira Marianna Meirelles, Cabral Karine Chaves

机构信息

Hospital Luxemburgo (Fundação Mario Pena), Belo Horizonte, MG, Brasil.

出版信息

Rev Bras Cir Cardiovasc. 2008 Apr-Jun;23(2):276-8. doi: 10.1590/s0102-76382008000200020.

Abstract

In this study is reported the case of a 63-year-old-woman with history of dyspnea, palpitations, and precordial pain who underwent cardiologic evaluation. The physical examination did not reveal abnormalities. The echocardiogram showed great mass in the left atrium, suggesting myxoma which was confirmed by tomography and catheterization. The patient underwent surgical treatment with a good postoperative evolution. The diagnosis of myxoma was confirmed by histopathologic study. In this study is included a bibliographic review and a comment emphasizing the diagnostic difficulty based on signs and symptoms, as well as the details about the development of bilateral pleural effusion possibly related to the myxoma.

摘要

本研究报告了一名63岁女性的病例,该女性有呼吸困难、心悸和心前区疼痛病史,接受了心脏评估。体格检查未发现异常。超声心动图显示左心房有巨大肿块,提示为黏液瘤,断层扫描和心导管检查证实了这一诊断。患者接受了手术治疗,术后恢复良好。组织病理学研究证实了黏液瘤的诊断。本研究包括文献综述和评论,强调了基于体征和症状的诊断困难,以及可能与黏液瘤相关的双侧胸腔积液的发展细节。

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