Sabzi Feridoun, Nasiri Babak
Cardiovascular Medical Center of Imam Ali Hospital, Kermanshah, Iran.
J Tehran Heart Cent. 2013 Oct 28;8(4):202-4.
Myxomas are the most common benign cardiac tumors. Myxomas are more common in the left heart chamber than the right side chamber. An extracardiac origin presenting as a right atrial mass is very rare. We present a case of myxoma originating in the superior vena cava (SVC) in a 24-year-old man, who underwent surgical resection. Preoperative two-dimensional echocardiography demonstrated a mass in the right atrium. Intraoperatively, the tumor was found to have originated from the SVC orifice. The tumor was excised from the SVC by opening the one-third proximal portion of the SVC. Pathological examination revealed a myxoma, and one-year follow-up showed no evidence of the recurrence of any tumors in the SVC.
黏液瘤是最常见的心脏良性肿瘤。黏液瘤在左心腔比右心腔更常见。起源于心脏外并表现为右心房肿块的情况非常罕见。我们报告一例24岁男性起源于上腔静脉(SVC)的黏液瘤病例,该患者接受了手术切除。术前二维超声心动图显示右心房有一个肿块。术中发现肿瘤起源于上腔静脉开口处。通过打开上腔静脉近端的三分之一部分,从该上腔静脉切除肿瘤。病理检查显示为黏液瘤,一年的随访表明上腔静脉没有任何肿瘤复发的迹象。