Hong Sungyong, Park Kyung-Taek, Choe Hyunmin
Department of Thoracic and Cardiovascular Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine, Korea.
Korean J Thorac Cardiovasc Surg. 2012 Jun;45(3):183-5. doi: 10.5090/kjtcs.2012.45.3.183. Epub 2012 Jun 7.
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.
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。