Li Yanhui, Li Xiaodong, Wang Xiaocong, Chen Liping
Department of Echocardiography, Center of Cardiovascular diseases, The First Hospital of Jilin University, Changchun, China.
Medicine (Baltimore). 2018 Jan;97(3):e9558. doi: 10.1097/MD.0000000000009558.
Myxoma is the most common type of primary benign cardiac tumor in adults. The left atrium is the most frequent site of origin followed by the right atrium. Biatrial myxoma is extremely rare.
We present a case of a 60-year-old woman with biatrial myxoma, who presented with palpitations for one month.
Echocardiography revealed an irregular homogeneous mass in the left atrium and in the right atrium, and were connected via the fossa ovalis suspiciously. Computed tomography angiography revealed a hypo-intense mass in both atria.
The tumors were successfully removed by surgical excision and histological analysis confirmed the diagnosis.
The patient was discharged one week after surgery, and did not experience recurrence during the two years follow-up period.
Biatrial myxoma is rare. Surgical resection is the mainstay of treatment and there is no recurrence reported. The clinical data and the features on echocardiogram of biatrial myxoma are reviewed, providing important clinical information for the pre-operative diagnosis and intraoperative removal of biatrial myxoma.
黏液瘤是成人原发性良性心脏肿瘤最常见的类型。左心房是最常见的起源部位，其次是右心房。双房黏液瘤极为罕见。
我们报告一例60岁患有双房黏液瘤的女性患者，她因心悸就诊1个月。
超声心动图显示左心房和右心房有不规则的均匀肿块，且可疑地通过卵圆窝相连。计算机断层血管造影显示双房有低密度肿块。
通过手术切除成功切除肿瘤，组织学分析确诊。
患者术后1周出院，在两年随访期内未出现复发。
双房黏液瘤罕见。手术切除是主要治疗方法，且未见复发报道。回顾双房黏液瘤的临床资料及超声心动图特征，为双房黏液瘤的术前诊断及术中切除提供重要临床信息。
