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一个由右冠状动脉新生血管供血的巨大左心房黏液瘤。

A giant left atrial myxoma neovascularized from the right coronary artery.

作者信息

Gerede Demet Menekse, Akbulut Irem Muge, Ersoz Sadık, Kilıckap Mustafa

机构信息

Department of Cardiology, Cebeci Heart Center, Ankara University School of Medicine, Cebeci, 06590 Ankara, Turkey.

Department of Cardiovascular Surgery, Ankara University School of Medicine, Ankara, Turkey.

出版信息

Case Rep Cardiol. 2015;2015:614830. doi: 10.1155/2015/614830. Epub 2015 Apr 15.

DOI:10.1155/2015/614830
PMID:25960891
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4413033/
Abstract

Myxomas are benign and the most common tumors of the cardiac muscle (Reynen, 1995). They are predominantly located in the left atrium. Clinical manifestations may vary according to the localization and the size of the myxoma. On the other hand, imaging of a myxoma by contrast dye during coronary angiography is a rare sign, which displays the vascular supply of the tumor. Here, we report the case of a 51-year-old man presenting with presyncope and palpitations due to a giant left atrial myxoma having its vascular supply from the right coronary artery (RCA).

摘要

黏液瘤是良性的，也是心肌最常见的肿瘤（Reynen，1995年）。它们主要位于左心房。临床表现可能因黏液瘤的位置和大小而异。另一方面，在冠状动脉造影期间通过造影剂对黏液瘤进行成像则是一种罕见的征象，它显示了肿瘤的血管供应。在此，我们报告一例51岁男性患者，因巨大的左心房黏液瘤导致先兆晕厥和心悸，该黏液瘤由右冠状动脉（RCA）供血。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb40/4413033/0dc76dbfe136/CRIC2015-614830.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb40/4413033/ae79ef464a77/CRIC2015-614830.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb40/4413033/3f6da7ce23fa/CRIC2015-614830.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb40/4413033/0dc76dbfe136/CRIC2015-614830.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb40/4413033/ae79ef464a77/CRIC2015-614830.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb40/4413033/3f6da7ce23fa/CRIC2015-614830.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb40/4413033/0dc76dbfe136/CRIC2015-614830.003.jpg

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本文引用的文献

1
The value of coronary angiography in the work-up of atrial myxomas.冠状动脉造影在心房黏液瘤检查中的价值。
Herz. 2015 May;40(3):442-6. doi: 10.1007/s00059-013-3930-z. Epub 2013 Nov 1.
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Neovascularized myxoma-causing abnormal blood flow in the left atrium diagnosed by transesophageal echocardiography.经食管超声心动图诊断出的导致左心房异常血流的血管化黏液瘤。
Echocardiography. 2013 Jan;30(1):E10-2. doi: 10.1111/j.1540-8175.2012.01822.x. Epub 2012 Sep 25.
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Cardiac myxomas.心脏黏液瘤
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