右心室黏液瘤并三尖瓣心内膜炎 1 例罕见报告。
A Rare Case of Right Ventricular Myxoma with Tricuspid Valve Endocarditis.
机构信息
Department of Surgery, Faculty of Medicine, Universitas Indonesia / Integrated Cardiovascular Services Unit Cipto Mangunkusumo Hospital, Jakarta Pusat, Indonesia.
Department of Pathology Anatomy, Cipto Mangunkusumo Hospital, Jalan Diponegoro Jakarta, Indonesia.
出版信息
Heart Surg Forum. 2020 Sep 25;23(5):E696-E698. doi: 10.1532/hsf.3189.
BACKGROUND
Although myxoma is the most common form of benign cardiac tumor, which is a rare condition itself, less than 3-4% of cases are detected in the right ventricle (RV). The clinical presentations vary widely and are nonspecific, causing challenging diagnosis. Although rare, myxoma can coexist with infective endocarditis (IE).
CASE REPORT
We report a rare case of right ventricular myxoma presenting with dyspnea and fever, which was later found to be complicated with concomitant tricuspid valve endocarditis during surgery as well as the performed surgical approach.
CONCLUSION
RV myxoma is a rare entity requiring a high index of suspicion due to varying nonspecific presentations. Concomitant IE should be suspected in patients with persistent fever. Antibiotics and careful surgical approach are needed to prevent complications, including embolization.
背景
黏液瘤是最常见的良性心脏肿瘤，但它本身较为罕见，不到 3-4%的病例发生在右心室（RV）。临床表现差异很大且无特异性，导致诊断具有挑战性。尽管罕见，但黏液瘤可与感染性心内膜炎（IE）同时存在。
病例报告
我们报告了一例罕见的右心室黏液瘤病例，表现为呼吸困难和发热，后来在手术中发现同时并发三尖瓣心内膜炎，以及所采用的手术方法。
结论
RV 黏液瘤是一种罕见的实体，由于表现各异且无特异性，需要高度怀疑。对于持续发热的患者，应怀疑并发 IE。抗生素和谨慎的手术方法是必要的，以预防包括栓塞在内的并发症。
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