Kunioka Shingo, Fujita Kishu, Iwasa Shizuko, Murakami Hironori, Kamiya Hiroyuki, Yamazaki Kenji, Tsukui Hiroyuki
Department of Cardiac Surgery, Asahikawa Medical University, Hokkaido, Japan.
Department of Cardiovascular Surgery, Hokkaido Cardiovascular Hospital, Hokkaido, Japan.
J Surg Case Rep. 2020 Sep 17;2020(9):rjaa333. doi: 10.1093/jscr/rjaa333. eCollection 2020 Sep.
A myxoma is one of the most common tumors in cardiac surgery, with most of them originating from the left or right atrial walls and causing embolic complications. An 84-year-old woman was referred to our institution after echocardiography showed an interatrial septum tumor that was presumed to be a thrombus; however, postoperative pathological examination revealed it to be a cardiac myxoma. This atypical myxoma was covered with a solid capsule containing connective tissue and substantial calcifications, which had made it difficult to establish a diagnosis of myxoma.
黏液瘤是心脏外科手术中最常见的肿瘤之一,大多数起源于左心房或右心房壁,并引起栓塞并发症。一名84岁女性在超声心动图显示房间隔肿瘤(推测为血栓)后被转诊至我院;然而,术后病理检查显示其为心脏黏液瘤。这种非典型黏液瘤被一层实性包膜覆盖,包膜内含有结缔组织和大量钙化,这使得黏液瘤的诊断变得困难。