Department of Cardiothoracic Surgery, Heart Center, University of Cologne, Cologne, Germany.
Perfusion. 2020 Apr;35(3):263-266. doi: 10.1177/0267659119865125. Epub 2019 Aug 1.
Cardiac tumors are a rarity. Most diagnosed primary tumors of the heart are benign, with an incidence ranging between 0.001% and 0.03%. Cardiac myxoma is one of these benign entities. A 44-year-old Caucasian woman who presented with symptoms of a common cold was diagnosed with a massive obstructing myxoma of the left atrium. Despite its large size, the tumor was completely removed using minimally invasive access through right anterior thoracotomy. However, the myxoma was adherent to the left atrial septum and was excised in toto. Pathological examinations confirmed the diagnosis of a primary cardiac myxoma. Total resection of obstructive cardiac myxomas is the therapy of choice, whereas minimally invasive surgical approach might be feasible despite large size and septal localization, but is technically challenging.
心脏肿瘤较为罕见。大多数诊断出的原发性心脏肿瘤为良性，发病率在 0.001%至 0.03%之间。心脏黏液瘤就是其中一种良性肿瘤。一位 44 岁的白人女性因普通感冒症状就诊，被诊断为巨大的左心房阻塞性黏液瘤。尽管肿瘤很大，但仍通过右前侧开胸微创方法完全切除。然而，黏液瘤与左房间隔黏附，整块切除。病理检查证实了原发性心脏黏液瘤的诊断。心脏黏液瘤的完全切除术是首选的治疗方法，尽管肿瘤较大且位于间隔部位，但微创方法可能是可行的，但技术上具有挑战性。
