Diaz Andres, Di Salvo Carmelo, Lawrence David, Hayward Martin
Cardiothoracic Unit, University College Hospital, The Heart Hospital, London, UK.
Interact Cardiovasc Thorac Surg. 2011 Apr;12(4):622-3. doi: 10.1510/icvts.2010.255661. Epub 2011 Jan 27.
Myxomas are rare tumours but are the most common benign tumours of the heart. They can arise from any heart chamber. However, they arise more frequently from the left atrium. They have rarely been described as originating from two different chambers. Their clinical presentation is varied and may mimic arterial embolism or symptoms of cardiac, infectious, malignant and immune diseases, therefore making their diagnosis challenging. We report a case of a young female patient with left atrial and right ventricular myxomas who initially presented with neurological symptoms (visual and speech disturbances). Transoesophageal echocardiography has become an invaluable tool to diagnose myxomas and plan the surgical approach.
黏液瘤是罕见的肿瘤，但却是心脏最常见的良性肿瘤。它们可起源于任何心脏腔室。然而，它们更常起源于左心房。很少有报道称其起源于两个不同的腔室。其临床表现多样，可能类似动脉栓塞或心脏、感染、恶性和免疫疾病的症状，因此其诊断具有挑战性。我们报告一例年轻女性患者，患有左心房和右心室黏液瘤，最初表现为神经症状（视觉和言语障碍）。经食管超声心动图已成为诊断黏液瘤和规划手术方法的宝贵工具。
