右心室黏液瘤阻塞右心室流出道：一例报告
Right ventricular myxoma obstructing the right ventricular outflow tract: a case report.
作者信息
Gribaa Rym, Slim Mehdi, Kortas Chokri, Kacem Slim, Ben Salem Helmi, Ouali Sana, Neffati Elies, Remadi Fehmi, Boughzela Essia
机构信息
Department of Cardiology, Sahloul Hospital, Sousse, Tunisia.
出版信息
J Med Case Rep. 2014 Dec 17;8:435. doi: 10.1186/1752-1947-8-435.
INTRODUCTION
Primary cardiac tumors are uncommon during infancy and childhood. Myxomas originating from the right ventricle are even less common in pediatric patients.
CASE PRESENTATION
Here we describe a case of an 11-year-old Tunisian boy who was referred for syncope. Transthoracic echocardiography revealed a large mobile mass attached to his right ventricle, obstructing his right ventricular outflow tract. Complete surgical excision of the mass with preservation of the pulmonary valve was performed. The diagnosis of myxoma was histologically confirmed.
CONCLUSION
Cardiac myxomas located in the right ventricular outflow tract are rare and can present unusual diagnostic and therapeutic challenges.
引言
原发性心脏肿瘤在婴儿期和儿童期并不常见。起源于右心室的黏液瘤在儿科患者中更为罕见。
病例报告
在此，我们描述一例11岁突尼斯男孩因晕厥前来就诊的病例。经胸超声心动图显示一个附着于其右心室的巨大活动肿物，阻塞了右心室流出道。在保留肺动脉瓣的情况下对肿物进行了完整的手术切除。组织学检查确诊为黏液瘤。
结论
位于右心室流出道的心脏黏液瘤罕见，可带来不同寻常的诊断和治疗挑战。
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