Ueno Y, Ohkubo K, Yamazaki F, Shimamoto M, Shinozaki T, Akiyama F
Division of Thoracic and Cardiovascular Surgery, Shizuoka City Hospital, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1990 Sep;38(9):1479-82.
A surgical treatment of left ventricular myxoma arising from the anterior wall of the left ventricle is reported. A 32 year old man with a history of transient syncopal attack had an echocardiographic diagnosis of left ventricular myxoma. He previously had had myxoid tumors excised from the nose and from the posterior part of the left thigh. Cardiac surgery was performed under extracorporeal circulation on December 20, 1989. A friable, gelatinous 5 cm long myxoma with a diameter of 3 cm was excised from the left ventricule. The postoperative course was uneventful. The clinical characteristics in all the reported cases of cardiac myxomas with associated myxoid tumors of the skin are reviewed. Cardiac myxomas in patients with mucocutaneous myxoid tumors have an atypical biological behavior with early development of myxomas, atypical location, multiple tumors and high rate of recurrent myxomas.
本文报道了一例起源于左心室前壁的左心室黏液瘤的外科治疗。一名有短暂晕厥发作史的32岁男性经超声心动图诊断为左心室黏液瘤。他此前曾切除过鼻部和左大腿后部的黏液样肿瘤。1989年12月20日在体外循环下进行了心脏手术。从左心室切除了一个易碎的、凝胶状的长5厘米、直径3厘米的黏液瘤。术后过程顺利。对所有已报道的伴有皮肤黏液样肿瘤的心脏黏液瘤病例的临床特征进行了综述。患有皮肤黏膜黏液样肿瘤的患者的心脏黏液瘤具有非典型的生物学行为，表现为黏液瘤早期发生、位置不典型、多肿瘤以及黏液瘤复发率高。
