[模拟肺动脉瓣狭窄的右心室黏液瘤。病例报告]

[Right ventricular myxoma simulating pulmonary valve stenosis. A case report].

作者信息

Falleiro R P, De Azambuja P C, De Azambuja D C, Fragomeni L S

出版信息

Arq Bras Cardiol. 1989 Apr;52(4):209-12.

Abstract

A 17 year old girl was asymptomatic until 3 months ago, when she noticed palpitations and chest pain. Physical examination revealed a systolic murmur + + +/6 in the pulmonary area. Chest X-ray showed discrete dilatation of the pulmonary trunk and the electrocardiogram a first degree heart block. The diagnosis of myxoma was established after echocardiogram and cardiac catheterization when a mobile cardiac mass was identified in the right ventricular outflow tract. The tumor was removed using extracorporeal circulation and the ventricular access through the right atrium. After a 16 month follow-up the patient is dealing a normal life and there are no signs of recurrence.

摘要

一名17岁女孩在3个月前一直无症状，之后她注意到心悸和胸痛。体格检查发现肺动脉区有三级收缩期杂音。胸部X线显示肺动脉干局限性扩张，心电图显示一度房室传导阻滞。经超声心动图和心导管检查发现右心室流出道有一可移动的心脏肿物后，确诊为黏液瘤。通过体外循环并经右心房进入心室切除了肿瘤。经过16个月的随访，患者生活正常，无复发迹象。