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心脏黏液瘤脱落导致腹主动脉完全闭塞。

Total occlusion of the abdominal aorta caused by detachment of cardiac myxoma.

作者信息

Hong Sungyong, Park Kyung-Taek, Choe Hyunmin

机构信息

Department of Thoracic and Cardiovascular Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine, Korea.

出版信息

Korean J Thorac Cardiovasc Surg. 2012 Jun;45(3):183-5. doi: 10.5090/kjtcs.2012.45.3.183. Epub 2012 Jun 7.

DOI:10.5090/kjtcs.2012.45.3.183
PMID:22708087
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3373975/
Abstract

Abdominal aortic occlusion (AAO) caused by detachment of cardiac myxoma (CM) is a very rare complication in patients with CM. Although the nature of CMs has been well established, detachment of CM may cause unexpected serious complications such as vicious embolic events. Actually, in several cases of AAO caused by detachment of CM, it has been reported that CM fragments easily migrated to the brain, heart, and lungs, and caused lifelong neurological complications despite appropriate surgical therapy. Herein, we report a case of a patient with AAO caused by detachment of CM who underwent CM excision and abdominal aortic thromboembolectomy. Additionally, we have presented the preoperative and postoperative images using 64-multidetector computed tomography.

摘要

心脏黏液瘤（CM）脱落导致的腹主动脉闭塞（AAO）是CM患者中非常罕见的并发症。尽管CM的性质已得到充分明确，但CM脱落可能会引发意想不到的严重并发症，如恶性栓塞事件。实际上，在几例由CM脱落导致AAO的病例中，据报道CM碎片很容易迁移至脑、心脏和肺部，并且尽管进行了适当的手术治疗，仍会导致终身神经并发症。在此，我们报告一例由CM脱落导致AAO的患者，该患者接受了CM切除术和腹主动脉血栓切除术。此外，我们展示了使用64排多层螺旋计算机断层扫描的术前和术后图像。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a80/3373975/5d23f89c04c0/kjtcs-45-183-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a80/3373975/da33d0f25aed/kjtcs-45-183-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a80/3373975/5d23f89c04c0/kjtcs-45-183-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a80/3373975/da33d0f25aed/kjtcs-45-183-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a80/3373975/5d23f89c04c0/kjtcs-45-183-g002.jpg

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引用本文的文献

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Medicine (Baltimore). 2018 Sep;97(37):e12397. doi: 10.1097/MD.0000000000012397.

本文引用的文献

1
Embolic occlusion of the aorta caused by cardiac myxoma.心脏黏液瘤引起的主动脉栓塞性闭塞。
Resuscitation. 2010 May;81(5):511. doi: 10.1016/j.resuscitation.2010.01.026. Epub 2010 Mar 1.
2
Catastrophic presentation of atrial myxoma with total occlusion of abdominal aorta.心房黏液瘤伴腹主动脉完全闭塞的灾难性表现。
Interact Cardiovasc Thorac Surg. 2009 Nov;9(5):913-5. doi: 10.1510/icvts.2009.212514. Epub 2009 Aug 20.
3
Embolic atrial myxoma causing aortic and carotid occlusion.栓子性心房黏液瘤导致主动脉和颈动脉闭塞。
Surg Neurol. 2009 Feb;71(2):246-9; discussion 249. doi: 10.1016/j.surneu.2007.07.062. Epub 2008 Mar 4.
4
Complete aortic occlusion caused by cardiac myxoma emboli.
Am J Emerg Med. 2008 Jan;26(1):110.e1-2. doi: 10.1016/j.ajem.2007.06.019.
5
Atrial myxoma presenting with total occlusion of the abdominal aorta and multiple peripheral embolism.
Eur J Intern Med. 2007 Jan;18(1):74-5. doi: 10.1016/j.ejim.2006.04.020.
6
Complete embolization of a left atrial myxoma resulting in acute lower extremity ischemia.左心房黏液瘤完全栓塞导致急性下肢缺血。
Tex Heart Inst J. 2005;32(2):238-40.
7
Clinical presentation of left atrial cardiac myxoma. A series of 112 consecutive cases.左心房心脏黏液瘤的临床表现。连续112例病例系列。
Medicine (Baltimore). 2001 May;80(3):159-72. doi: 10.1097/00005792-200105000-00002.