左心房黏液瘤合并右冠状动脉恶性异常走行：两种罕见疾病的罕见并发情况

Left Atrial Myxoma Associated with Malignant Anomalous Course of Right Coronary Artery: A Rare Concurrent Incidence of Two Rare Diseases.

作者信息

Yazigi George, Sourial Kirolus, Hussain Sayed T, Mathias Patrick

机构信息

Internal Medicine, University of Central Florida College of Medicine, Orlando, USA.

Internal Medicine, Heart and Vascular Institute, Osceola Regional Medical Center/University of Central Florida College of Medicine/HCA GME Consortium, Kissimmee, USA.

出版信息

Cureus. 2019 Apr 29;11(4):e4561. doi: 10.7759/cureus.4561.

DOI:10.7759/cureus.4561

PMID:31281745

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6605964/

Abstract

Cardiac atrial myxoma is a primary cardiac tumor with a prevalence of 0.0017-0.19% at autopsy. Anomalous origin of right coronary artery (ARCA) from opposite sinus of Valsalva is considered the second most common cause of sudden cardiac death among young athletes with an incidence of 0.09%-0.92% and mortality risk of 0-57%. We present a case of symptomatic left atrial myxoma in the presence of ARCA from the opposite sinus of valsalva. The myxoma was excised and the anomalous right coronary artery was re-implanted during the same operative session.

摘要

心脏心房黏液瘤是一种原发性心脏肿瘤，尸检患病率为0.0017%-0.19%。起源于对侧瓦尔萨尔瓦窦的右冠状动脉异常（ARCA）被认为是年轻运动员心源性猝死的第二大常见原因，发病率为0.09%-0.92%，死亡风险为0%-57%。我们报告一例存在起源于对侧瓦尔萨尔瓦窦的ARCA的有症状左心房黏液瘤病例。在同一手术过程中切除了黏液瘤并重新植入了异常的右冠状动脉。