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一名慢性肾衰竭患者中与心脏黏液瘤相关的多发性脑动脉瘤:我们如何解决多发性脑动脉瘤?

Multiple cerebral aneurysms associated with cardiac myxoma in a patient with chronic renal failure: how can we resolve multiple cerebral aneurysms?

作者信息

Shinn S H, Chon S-H, Kim H-J

机构信息

Thoracic and Cardiovascular Surgery, Hanyang University Guri Hospital, Guri, Republic of Korea.

出版信息

Thorac Cardiovasc Surg. 2009 Feb;57(1):47-8. doi: 10.1055/s-2007-989431. Epub 2009 Jan 23.

Abstract

Left cardiac myxoma and consecutive embolization into the brain is well documented, whereas the association of myxoma with multiple fusiform cerebral aneurysms is rare. A 48-year old female with chronic renal failure had complained of syncope after receiving hemodialysis. An echocardiogram showed a 3 x 4 cm sized myxoma and brain MRI displayed multiple fusiform aneurysms. The myxoma was successfully removed. Postoperatively, she developed status epilepticus. Unfortunately, the patient did not recover and expired due to sepsis.

摘要

左心黏液瘤并连续栓塞至脑部已有充分文献记载,而黏液瘤与多发梭形脑动脉瘤的关联则较为罕见。一名48岁慢性肾衰竭女性在接受血液透析后出现晕厥。超声心动图显示一个3×4厘米大小的黏液瘤,脑部磁共振成像显示多发梭形动脉瘤。黏液瘤被成功切除。术后,她发生了癫痫持续状态。不幸的是,患者未能康复,因败血症死亡。

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