Lazarow Frances, Aktan Serra, Lanier Karah, Agola John
Department of Radiology, Eastern Virginia Medical School, P.O. Box 1980 Norfolk, VA.
School of Medicine, Eastern Virginia Medical School, Norfolk, VA.
Radiol Case Rep. 2018 Jan 2;13(2):490-494. doi: 10.1016/j.radcr.2017.11.015. eCollection 2018 Apr.
Myxomatous cerebral aneurysms are rare sequelae of cardiac atrial myxoma. These aneurysms are generally fusiform, multiple, and distal. Pathogenesis and evolution of these aneurysms is still debated. There are currently no guidelines on the management of aneurysms secondary to atrial myxoma. We present a case of a 52-year-old man with multiple fusiform aneurysms 3 years after resection of a left atrial myxoma. One of these aneurysms was followed with cerebral angiography and showed substantial interval enlargement. This aneurysm was subsequently embolized. All aneurysms were stable 6 months post-embolization.
黏液瘤性脑动脉瘤是心脏心房黏液瘤罕见的后遗症。这些动脉瘤通常为梭形、多发且位于远端。这些动脉瘤的发病机制和演变仍存在争议。目前尚无关于心房黏液瘤继发动脉瘤治疗的指南。我们报告一例52岁男性患者，在左心房黏液瘤切除术后3年出现多发梭形动脉瘤。其中一个动脉瘤通过脑血管造影随访，显示有明显的间隔期增大。该动脉瘤随后接受了栓塞治疗。栓塞术后6个月，所有动脉瘤均保持稳定。
