Heidari Aghighe, Sabzi Feridoun, Faraji Reza
Department of Anesthesiology, Medical School, Kermanshah, Iran.
Department of Anesthesiology, Medical School; Kermanshah Cardiovascular Research Centre, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Ann Card Anaesth. 2018 Jan-Mar;21(1):65-67. doi: 10.4103/aca.ACA_121_17.
Left atrial fibroma as a benign tumor is an exceedingly rare left atrial mass. It has various clinical signs and symptoms and sometimes leads to serious complications such as lethal arrhythmia and death. We report a case of right atrial fibroma in a 40-year-old male who presented with dyspnea and atrial fibrillation. Transthoracic echocardiography revealed a large sessile mass attached to interatrial septum near the coronary sinus valve in the right atrium. The patient underwent surgical resection of tumor through the right atrium. The postoperative course was unremarkable. Histopathological examination showed that it was a fibroma. The 6-month follow-up revealed that the patient was in well condition with no evidence of tumor recurrence.
左心房纤维瘤作为一种良性肿瘤是极为罕见的左心房肿块。它有多种临床体征和症状，有时会导致严重并发症，如致命性心律失常和死亡。我们报告一例40岁男性右心房纤维瘤病例，该患者表现为呼吸困难和心房颤动。经胸超声心动图显示右心房靠近冠状窦瓣的房间隔上附着有一个大的蒂状肿块。患者通过右心房接受了肿瘤手术切除。术后病程平稳。组织病理学检查显示为纤维瘤。6个月的随访显示患者状况良好，无肿瘤复发迹象。
