Heni H E, Bubenheimer P, Görnandt L, Birnbaum D, Roskamm H
Rehabilitationszentrum für Herz- und Kreislaufkranke, Bad Krozingen.
Z Kardiol. 1988 Jul;77(7):425-31.
Between 1978 and 1986, atrial heart tumors were found in 21 of our patients, all of them subsequently underwent surgery. Pathological-histological examination in 20 patients confirmed the diagnosis of a myxoma; the one remaining case was a female patient with primary cardiogenic osteosarcoma. Of the 20 patients, 15 (75%) were females; in four female patients (20%) the tumor was localized in the right atrium. The main symptoms and findings were elevated erythrocyte sedimentation rates (80%), stress-induced dyspnea or paroxysmal dyspnea (71% resp.), and diastolic mitral or tricuspid murmurs (62%). The patient with osteosarcoma died of cachexia on the basis of generalized diffuse metastases. One female patient with a preoperative history of severe left ventricular impairment on the basis of dilative cardiomyopathy died 5 weeks after surgery. Relapse of atrial myxoma has not yet occurred during follow-up since 1978.
1978年至1986年间，我们的21例患者被发现患有心房心脏肿瘤，所有患者随后均接受了手术。20例患者的病理组织学检查确诊为黏液瘤；其余1例为原发性心脏骨肉瘤女性患者。20例患者中，15例（75%）为女性；4例女性患者（20%）的肿瘤位于右心房。主要症状和体征为红细胞沉降率升高（80%）、应激性呼吸困难或阵发性呼吸困难（分别为71%）以及舒张期二尖瓣或三尖瓣杂音（62%）。骨肉瘤患者因全身广泛转移导致恶病质死亡。1例因扩张型心肌病术前有严重左心室功能损害病史的女性患者术后5周死亡。自1978年随访以来，心房黏液瘤尚未复发。
