Lee Eun-Jung, Moon Sena, Lee Jae Young, Kang Joon Kyu, Chang Yun Hee
Department of Pediatrics, Seoul St Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Pediatr Int. 2015;57(1):172-4. doi: 10.1111/ped.12419.
Cardiac myxoma is rare in children and often associated with cerebrovascular events. Reported herein is the case of a 9-year-old boy who presented with acute obstruction of the aortic bifurcation associated with a huge left atrial (LA) myxoma, thereby leading to acute ischemia of the lower extremities. Immediate surgical removal of the LA myxoma with concomitant percutaneous embolectomy using a Forgathy catheter was done, with relief of ischemic symptoms. Cardiac myxoma should always be considered in the case of acute embolic events in children, given that it needs immediate intervention to prevent further complications.
心脏黏液瘤在儿童中罕见,且常与脑血管事件相关。本文报告了一例9岁男孩,其因巨大的左心房黏液瘤导致主动脉分叉急性梗阻,进而引起下肢急性缺血。立即进行了左心房黏液瘤手术切除,并同时使用Forgathy导管进行经皮取栓术,缺血症状得以缓解。鉴于儿童急性栓塞事件需要立即干预以预防进一步并发症,因此在这种情况下应始终考虑心脏黏液瘤。