左心房黏液瘤合并多系统栓塞
Left atrial myxoma complicated with multi-system embolization.
作者信息
Zhang Ren-Dan, Zeng Zhi-Huan, Zheng Jian-Yi, Li Tu-Di, Zhao Yan-Qun, Liu Yu-Hong, Yao Yu-Si
机构信息
Cardiovascular Department of First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, Guangdong, 510080, People's Republic of China.
出版信息
J Cardiothorac Surg. 2017 Sep 5;12(1):76. doi: 10.1186/s13019-017-0640-2.
BACKGROUND
Atrial myxoma accounts for approximately 50% of all cardiac tumors. The majority of myxomas are located in the left atrium and present variable clinical manifestation.
CASE PRESENTATION
A young man was transferred to our hospital with sudden onset of resting pain, pallor and numb in right leg. An atrial mobile mass was detected by transthoracic echocardiography. Anticoagulant and antithrombotic therapy were administered, a timely surgery was performed and the mass was confirmed as a myxoma. The patient did not discharge any discomfort post-operation.
CONCLUSION
For patients with atrial myxoma, early diagnosis is essential, anticoagulant or antithrombotic therapy and surgery have a great importance to prevent further embolism.
背景
心房黏液瘤约占所有心脏肿瘤的50%。大多数黏液瘤位于左心房，临床表现多样。
病例介绍
一名年轻男性因右下肢突发静息痛、苍白和麻木被转诊至我院。经胸超声心动图检测到心房内有一活动肿物。给予抗凝和抗血栓治疗，及时进行了手术，肿物被确诊为黏液瘤。患者术后未诉任何不适。
结论
对于心房黏液瘤患者，早期诊断至关重要，抗凝或抗血栓治疗及手术对于预防进一步栓塞非常重要。
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