Bernatchez Julien, Gaudreault Valerie, Vincent Gabriel, Rheaume Pascal
Division of Vascular Surgery, CHU de Quebec City, Quebec City, Quebec, Canada.
Division of Cardiology, CHU de Quebec City, Quebec City, Quebec, Canada.
Ann Vasc Surg. 2018 Nov;53:266.e13-266.e20. doi: 10.1016/j.avsg.2018.04.024. Epub 2018 Aug 17.
Myxomas are the most common primary cardiac neoplasms. Multimodality imaging is essential for proper diagnosis and treatment. The cardiovascular manifestations depend on myxomas location and size. Intracardiac obstruction, constitutional symptoms, and infected myxomas have been described. Though uncommon, myxomas should also be included in the diagnosis of peripheral embolization to the extremities or visceral aorta. We hereby present a rare case of left atrial myxoma with multiple systemic emboli and a review of the associated literature.
黏液瘤是最常见的原发性心脏肿瘤。多模态成像对于正确的诊断和治疗至关重要。心血管表现取决于黏液瘤的位置和大小。已描述了心内梗阻、全身症状和感染性黏液瘤。虽然不常见,但黏液瘤也应纳入四肢或内脏主动脉周围栓塞的诊断中。我们在此报告一例罕见的伴有多个全身栓塞的左心房黏液瘤病例,并对相关文献进行综述。