Orozco-Hernandez Erik J, Argueta-Sosa Erwin E, Mauchley David, Xie Rongbing, Mitchell Chace B, Self Dwight M, Davies James E
Division of Cardiovascular Surgery, University of Alabama at Birmingham Hospital, Birmingham, Alabama.
Division of Cardiovascular Diseases, University of Alabama at Birmingham Hospital, Birmingham, Alabama.
J Card Surg. 2019 Oct;34(10):1127-1129. doi: 10.1111/jocs.14195. Epub 2019 Aug 2.
Cardiac myxomas can be fatal and left ventricular (LV) myxomas with papillary muscle and mitral valve (MV) involvement are rare. The following case is that of a 55-year-old woman who developed signs and symptoms of pulmonary hypertension. Imaging revealed a contractile mass in the LV that was in continuum with the papillary muscles and affected MV function. Her clinical course, radiologic, and hemodynamic findings are discussed. Finally, her surgical extraction technique is described in addition to potential complications encountered.
心脏黏液瘤可能是致命的，累及乳头肌和二尖瓣（MV）的左心室（LV）黏液瘤很罕见。以下病例是一名55岁女性，出现了肺动脉高压的体征和症状。影像学检查显示左心室内有一个与乳头肌相连的收缩性肿块，并影响二尖瓣功能。讨论了她的临床病程、放射学和血流动力学检查结果。最后，除了所遇到的潜在并发症外，还描述了她的手术摘除技术。
