与巨大左房黏液瘤相关的急性心力衰竭
Acute heart failure related to a large left atrial myxoma.
作者信息
Chiariello Giovanni A, Bruno Piergiorgio, Colizzi Christian, Pavone Natalia, Nesta Marialisa, Cammertoni Federico, Mazza Andrea, Posteraro Alfredo, Perri Gianluigi, Massetti Massimo
机构信息
Cardiovascular Sciences Department, Catholic University of The Sacred Heart, Agostino Gemelli Policlinic, Rome, Italy.
Cardiology Unit, San Giovanni Evangelista Hospital, Via Antonio Parrozzani, Tivoli, Rome, Italy.
出版信息
Proc (Bayl Univ Med Cent). 2018 Apr 9;31(3):331-333. doi: 10.1080/08998280.2018.1446641. eCollection 2018 Jul.
An association between atrial myxoma and left ventricular failure is rarely described, is not completely understood, and may have multiple etiologies. We present a 49-year-old man with no history of cardiovascular disease who was admitted to our hospital with pulmonary edema. He was in atrial fibrillation with rapid ventricular response. Echocardiography showed a 10.5-cm left atrial myxoma, which had been asymptomatic until the onset of congestive heart failure in the presence of severe left ventricular systolic dysfunction. Left ventricular inflow obstruction associated with the giant atrial mass could not be the only cause for acute heart failure.
心房黏液瘤与左心室衰竭之间的关联鲜有描述，尚未完全明确，且可能有多种病因。我们报告一名49岁无心血管疾病史的男性，因肺水肿入院。他处于房颤伴快速心室反应状态。超声心动图显示一个10.5厘米的左心房黏液瘤，在出现严重左心室收缩功能障碍导致充血性心力衰竭之前一直无症状。与巨大心房肿物相关的左心室流入道梗阻不可能是急性心力衰竭的唯一原因。
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