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一名植入双心室起搏器患者的左心房黏液瘤。

Left atrial myxoma in a patient with a biventricular pacemaker.

作者信息

Przywara-Chowaniec Brygida, Czarnecki Łukasz, Nowalny-Kozielska Ewa, Gawlikowski Maciej, Opara Mariusz, Puzio Agata, Kawecki Damian, Wesołowski Bartosz

机构信息

Second Department of Cardiology in Zabrze, School of Medicine with the Division of Dentistry, Medical University of Silesia in Katowice, Poland.

Foundation for Cardiac Surgery Development, Zabrze, Poland.

出版信息

Kardiochir Torakochirurgia Pol. 2016 Dec;13(4):383-385. doi: 10.5114/kitp.2016.64891. Epub 2016 Dec 30.

DOI:10.5114/kitp.2016.64891
PMID:28096843
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5233776/
Abstract

Myxomas make up about 50% of benign cardiac neoplasms. The most common location is within the left atrium. At the initial stage they do not exhibit any specific clinical symptoms, so they are often diagnosed by accident or during examinations recommended for other reasons. Here we present a case of left atrium myxoma in a patient (a man, age 68 years) with a dual chamber pacemaker. The myxoma did not reveal any clinical symptoms and was discovered in echocardiography during routine diagnostic examination preceding pacemaker implantation. The literature search made by the authors showed that this is the first recorded case of myxoma in a patient after the implantation of a biventricular pacemaker.

摘要

黏液瘤约占心脏良性肿瘤的50%。最常见的部位是左心房。在初始阶段,它们不会表现出任何特定的临床症状,因此常常是偶然被诊断出来,或者是在因其他原因进行的检查中被发现。在此,我们报告一例患有双腔起搏器的患者(一名68岁男性)的左心房黏液瘤病例。该黏液瘤未表现出任何临床症状,是在起搏器植入前的常规诊断超声心动图检查中发现的。作者进行的文献检索表明,这是首次有记录的双心室起搏器植入术后患者发生黏液瘤的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ad2/5233776/f2e67c7a8a39/KITP-13-29016-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ad2/5233776/6306c21604f7/KITP-13-29016-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ad2/5233776/162111a71c3e/KITP-13-29016-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ad2/5233776/f2e67c7a8a39/KITP-13-29016-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ad2/5233776/6306c21604f7/KITP-13-29016-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ad2/5233776/162111a71c3e/KITP-13-29016-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ad2/5233776/f2e67c7a8a39/KITP-13-29016-g003.jpg

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1
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本文引用的文献

1
Atrial myxomas and thrombi: comparison of imaging features on CT.心房黏液瘤与血栓:CT成像特征比较
AJR Am J Roentgenol. 2009 Mar;192(3):639-45. doi: 10.2214/AJR.08.1694.
2
Benign cardiac tumors of the pluripotent mesenchyme.多能间充质来源的心脏良性肿瘤
Semin Diagn Pathol. 2008 Feb;25(1):20-8. doi: 10.1053/j.semdp.2007.10.005.
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[Untypical cause of heart failure--right atrial myxoma].[心力衰竭的非典型病因——右心房黏液瘤]
Pol Arch Med Wewn. 2007 Oct;117(10):470-2.
4
Complete embolization of a left atrial myxoma resulting in acute lower extremity ischemia.左心房黏液瘤完全栓塞导致急性下肢缺血。
Tex Heart Inst J. 2005;32(2):238-40.
5
Multifocal right atrial myxoma and pulmonary embolism.右房多灶性黏液瘤与肺栓塞
Ann Thorac Surg. 2003 Apr;75(4):1323-4. doi: 10.1016/s0003-4975(02)04563-0.
6
Cardiac myxomas: clinical and echocardiographic profile.心脏黏液瘤:临床及超声心动图特征
Int J Cardiol. 1998 Feb 28;63(3):251-9. doi: 10.1016/s0167-5273(97)00316-1.
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The malignant potentiality of left atrial myxoma.左心房黏液瘤的恶性潜能
J Thorac Cardiovasc Surg. 1974 Dec;68(6):857-68.