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右心室黏液瘤阻塞流出道。

Right ventricular myxoma obstructing the outflow tract.

作者信息

Ivanovic Branislava, Tadic Marijana, Matic Danica, Simic Dragan

机构信息

Clinical Centre of Serbia, Clinic for Cardiology, Belgrade, Serbia.

出版信息

Am Heart Hosp J. 2010 Winter;8(2):E118-21. doi: 10.15420/ahhj.2010.8.2.118.

Abstract

Cardiac myxomas are benign tumors of endocardial origin. Symptoms might mimic heart disease as well as infectious disease, immunodeficiency, and malignant processes. We present the case of a 59-year-old female patient with a large right ventricular myxoma that was connected to the basal interventricular septum. Movement in systole provoked the obstruction of the right ventricular outflow tract. She presented clinically with syncope, systolic murmur, and signs of right heart failure. The diagnosis of the right ventricular tumor was based on 2D echocardiography, magnetic resonance, and multislice computed tomography findings.Emergency surgical excision of the myxoma was necessary to prevent embolism and sudden death.

摘要

心脏黏液瘤是起源于心内膜的良性肿瘤。其症状可能类似心脏病,也可能类似传染病、免疫缺陷病和恶性疾病。我们报告一例59岁女性患者,患有一个与室间隔基部相连的巨大右心室黏液瘤。收缩期运动引发右心室流出道梗阻。她临床上表现为晕厥、收缩期杂音和右心衰竭体征。右心室肿瘤的诊断基于二维超声心动图、磁共振成像和多层计算机断层扫描结果。为防止栓塞和猝死,必须紧急手术切除黏液瘤。

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