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[儿童右心室黏液瘤:一种罕见的表现]

[Right ventricular myxoma in a child: an uncommon presentation].

作者信息

Tarmiz Amine, Mgarrech Imene, Slim Mehdi, Kortas Chokri, Jerbi Sofiane

机构信息

Service de Chirurgie Cardiovasculaire et Thoracique, CHU Sahloul, Sousse, Tunisie.

Service de Cardiologie, CHU Sahloul, Sousse, Tunisie.

出版信息

Pan Afr Med J. 2016 Nov 4;25:138. doi: 10.11604/pamj.2016.25.138.10563. eCollection 2016.

Abstract

The right ventricle is an uncommon location for cardiac myxoma. Its most common complications are pulmonary embolism and obstruction due to pulmonary valve tumor. We report the case of a 11-year old child with repetitive syncopes admitted to Cardiology ward. Echocardiography showed a right ventricular myxoma of 2cm obstructing the pulmonary orifice. Emergency surgical excision was performed under cardiopulmonary bypasss with favorable postoperative course. Anatomo-pathological examination of the surgical specimen confirmed the diagnosis of myxoma. At 18 months follow-up, there was no evidence of tumor recurrence.

摘要

右心室是心脏黏液瘤的少见部位。其最常见的并发症是肺栓塞和因肺动脉瓣肿瘤导致的梗阻。我们报告一例11岁反复晕厥的儿童入住心内科病房。超声心动图显示一个2厘米的右心室黏液瘤阻塞了肺动脉口。在体外循环下进行了急诊手术切除,术后病程顺利。手术标本的解剖病理学检查证实了黏液瘤的诊断。随访18个月,无肿瘤复发迹象。

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