Smith Marcus J, Chaudhry Muhammad A, Humphrey Mary Beth, Lozano Pedro M
Department of Internal Medicine, Section of Cardiovascular Disease, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma 73104, USA.
J Card Surg. 2011 Jul;26(4):375-7. doi: 10.1111/j.1540-8191.2011.01277.x.
Atrial myxomas are the most common benign tumors of the heart and are difficult to diagnose due to a wide variety of presenting symptoms. We present a patient with a five-year history of visual loss, vertigo, ataxia, tinnitus, and bone lesions that resolved after diagnosis and resection of an atrial myxoma. This case not only highlights an unusual presentation of atrial myxomas but also raises the question of whether atrial myxomas can produce paraneoplastic syndromes, including bone abnormalities.
心房黏液瘤是最常见的心脏良性肿瘤,由于其出现的症状多种多样,因此难以诊断。我们报告一例患者,有五年视力丧失、眩晕、共济失调、耳鸣和骨病变病史,在诊断并切除心房黏液瘤后症状得以缓解。该病例不仅突出了心房黏液瘤的不寻常表现,还提出了心房黏液瘤是否会引发副肿瘤综合征(包括骨骼异常)的问题。