David Wadie, Rehman Narmeen, Singh Robby, David Shukri
Providence Hospital, Southfield, MI, USA.
Case Rep Cardiol. 2018 Oct 1;2018:9231256. doi: 10.1155/2018/9231256. eCollection 2018.
Primary cardiac tumors are extremely rare and are difficult to diagnose. Although usually benign in nature, myxomas require surgical resection due to their increased risk of embolic and cardiac complications, with the timing of resection dependent on the presentation and size of the tumor. However, if diagnosed early, patients with primary benign cardiac tumors have excellent prognosis following surgery. Therefore, a high index of suspicion and a wide differential diagnosis are very important in detecting rare conditions that can affect otherwise healthy individuals. We present an uncommon case of a right ventricular myxoma that was discovered when the patient was performing inverted yoga and experienced a near syncopal episode. Patient subsequently underwent an echocardiographic evaluation and was found to have a right ventricular myxoma that was excised. Although recurrence is rare, it is important for physicians to remain vigilant and continue careful and consistent follow-up for patients with a history of a cardiac myxoma.
原发性心脏肿瘤极为罕见，难以诊断。虽然黏液瘤本质上通常为良性，但由于其发生栓塞和心脏并发症的风险增加，需要进行手术切除，切除时间取决于肿瘤的表现和大小。然而，如果早期诊断，原发性良性心脏肿瘤患者术后预后良好。因此，高度的怀疑指数和广泛的鉴别诊断对于发现可能影响健康个体的罕见病症非常重要。我们报告一例罕见的右心室黏液瘤病例，该病例是在患者进行倒立瑜伽时出现近乎晕厥发作后发现的。患者随后接受了超声心动图评估，发现患有右心室黏液瘤并接受了切除。虽然复发罕见，但对于有心脏黏液瘤病史的患者，医生保持警惕并持续进行仔细、一致的随访很重要。
