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心房黏液瘤——年轻人缺血性卒中的不寻常病因。

Atrial Myxoma - An unusual cause of ischemic stroke in young.

作者信息

Sohal Ravdeep Singh, Shergill Khushdeep Kaur, Nagi Gagandeep Singh, Pillai Hari Janardanan

机构信息

Army Institute of Cardio-Thoracic Sciences, Department of Cardiothoracic Surgery. Pune, Maharashtra, India.

INHS Asvini, Department of Pathology. Mumbai, Maharashtra, India.

出版信息

Autops Case Rep. 2020 Sep 2;10(4):e2020178. doi: 10.4322/acr.2020.178.

Abstract

Atrial myxomas are rare primary cardiac tumours with neurological manifestations being reported in 30% of cases. Though a rare cause of ischemic stroke in young patients, considering it as a possibility in absence of any obvious risk factors can help avoid misdiagnosis at early stages. We present a case of left atrial myxoma in a 36-year-old male with no known co-morbidities, showing an unusual clinical presentation of isolated bilateral painless vision loss. With multiple infarcts on Non Contrast Computerised Tomography (NCCT) and a suspicion of Atrial Myxoma on Transesophageal Echocardiography (TEE), patient was successfully managed surgically with confirmation of diagnosis on histopathology.

摘要

心房黏液瘤是罕见的原发性心脏肿瘤,30%的病例有神经系统表现。虽然它是年轻患者缺血性卒中的罕见病因,但在没有任何明显危险因素的情况下考虑到这种可能性有助于早期避免误诊。我们报告一例36岁男性左心房黏液瘤病例,该患者无已知合并症,表现为孤立性双侧无痛性视力丧失这一不寻常的临床表现。非增强计算机断层扫描(NCCT)显示多处梗死,经食管超声心动图(TEE)怀疑有心房黏液瘤,患者经手术成功治疗,组织病理学确诊。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f368/7703370/112ac03f82ba/autopsy-10-4-e2020178-gf01.jpg

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