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以心悸为表现的心房黏液瘤:病例报告

Atrial Myxoma Presenting with Palpitations: A Case Report.

作者信息

Prousi George S, Moran Joseph V, Biggs Ross G

机构信息

Internal Medicine, Lehigh Valley Health Network, Allentown, USA.

Cardiology, Lehigh Valley Health Network, Allentown, USA.

出版信息

Cureus. 2019 Feb 19;11(2):e4093. doi: 10.7759/cureus.4093.

DOI:10.7759/cureus.4093
PMID:31032153
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6472717/
Abstract

Atrial myxomas are a rare phenomenon and although benign, primary neoplasms of the heart can be burdensome depending on their location. Clinical symptoms are caused through a variety of mechanisms including conduction disturbances, obstruction, and valvular interference. Size and symptom development are strongly correlated and can almost always be detected by the use of echocardiography, magnetic resonance imaging or computed tomography. This is a case of a 62-year-old female with no significant past medical history presented to our facility with complaints of palpitations and associated dizziness for three months.

摘要

心房黏液瘤是一种罕见现象,虽然是良性的,但心脏原发性肿瘤根据其位置可能会造成负担。临床症状是由多种机制引起的,包括传导障碍、阻塞和瓣膜干扰。肿瘤大小与症状发展密切相关,几乎总能通过超声心动图、磁共振成像或计算机断层扫描检测到。这是一例62岁女性患者,既往无重大病史,因心悸及相关头晕症状3个月前来我院就诊。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b5/6472717/be832012d3cb/cureus-0011-00000004093-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b5/6472717/9901bae9e2be/cureus-0011-00000004093-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b5/6472717/be832012d3cb/cureus-0011-00000004093-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b5/6472717/9901bae9e2be/cureus-0011-00000004093-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b5/6472717/be832012d3cb/cureus-0011-00000004093-i02.jpg

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引用本文的文献

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Point-of-care ultrasound to complete physical exam and to reach the diagnosis in a young man with syncope.床旁超声用于完善体格检查并对一名晕厥青年男子进行诊断。
Ultrasound J. 2020 May 25;12(1):29. doi: 10.1186/s13089-020-00176-5.

本文引用的文献

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Role of magnetic resonance imaging for evaluation of tumors in the cardiac region.磁共振成像在评估心脏区域肿瘤中的作用。
Eur Radiol. 2003 Dec;13 Suppl 6:L1-10. doi: 10.1007/s00330-002-1789-0. Epub 2003 Jan 18.
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Comparison of echo and MRI in the imaging evaluation of intracardiac masses.超声心动图与磁共振成像在心脏内肿块成像评估中的比较。
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Clinical presentation of left atrial cardiac myxoma. A series of 112 consecutive cases.左心房心脏黏液瘤的临床表现。连续112例病例系列。
Medicine (Baltimore). 2001 May;80(3):159-72. doi: 10.1097/00005792-200105000-00002.
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Unusual primary tumors of the heart.心脏罕见原发性肿瘤。
Semin Thorac Cardiovasc Surg. 2000 Apr;12(2):89-100. doi: 10.1053/ct.2000.5080.
10
Cardiac myxoma: diagnostic approach, surgical treatment and follow-up. A twenty years experience.心脏黏液瘤:诊断方法、手术治疗及随访。二十年经验。
J Cardiovasc Surg (Torino). 1996 Dec;37(6 Suppl 1):113-7.