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[一例伴有长期二尖瓣狭窄症状的心脏黏液瘤]

[A case of cardiac myxoma associated with long-term lasting symptoms of mitral stenosis].

作者信息

Imawaki S, Maeta H, Kazuno H, Shiraishi K, Kokudo Y, Miyauchi A, Tanaka S, Matsuo H, Senda S, Kobayashi S

出版信息

Kyobu Geka. 1989 Mar;42(3):218-21.

PMID:2739192
Abstract

We reported a case of 70-year-old woman whose left atrial myxoma was resected. She had been suffered from low cardiac output due to mitral stenosis for 15 years or more. Resection of the myxoma corrected mitral stenosis completely. Cardiac output and pulmonary wedge pressure, however, were not improved following the operation. Postoperative echo- and angiocardiography revealed marked early closure of the mitral valve. These findings indicate that left ventricular compliance should be reduced if inflow stenosis continued for a long period and it is difficult to improve depressed ventricular function even if mitral stenosis is completely removed.

摘要

我们报告了一例70岁女性左心房黏液瘤切除术病例。她因二尖瓣狭窄导致心输出量低已达15年或更长时间。黏液瘤切除完全纠正了二尖瓣狭窄。然而,术后心输出量和肺楔压并未改善。术后超声心动图和心血管造影显示二尖瓣明显早期关闭。这些发现表明,如果流入道狭窄持续很长时间,左心室顺应性会降低,即使二尖瓣狭窄完全解除,也难以改善降低的心室功能。

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