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心房黏液瘤的罕见表现:胸痛、吞咽困难和左上肢无力。

Rare presentation of atrial myxoma: chest pain, dysphagia and left upper extremity weakness.

作者信息

Zock A Zock Remy Waddel, Boccalandro Fernando

机构信息

Internal Medicine, Texas Technical University Health Sciences Center, Odessa, Texas, USA.

Department of Cardiology, ProCare Odessa Heart Institute, Medical Center Hospital, Odessa, Texas, USA.

出版信息

BMJ Case Rep. 2021 Mar 20;14(3):e225460. doi: 10.1136/bcr-2018-225460.

DOI:10.1136/bcr-2018-225460
PMID:33746113
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7986679/
Abstract

Atrial myxoma is a benign primary heart tumour, which can be found incidentally on imaging studies. It is usually located in the left atrium and may manifest as dyspnoea, chest pain, heart failure, cough, shortness of breath when rising from a recumbent position, haemoptysis, hoarseness and as a source of cardiac embolism. However, dysphagia caused by an atrial myxoma has been reported only twice in the literature. We present a 53-year-old Caucasian man with a chronic history of dysphagia caused by an atrial myxoma, in which surgical resection resulted in complete resolution of his dysphagia.

摘要

心房黏液瘤是一种良性原发性心脏肿瘤,可在影像学检查中偶然发现。它通常位于左心房,可能表现为呼吸困难、胸痛、心力衰竭、咳嗽、平卧起身时气短、咯血、声音嘶哑以及作为心脏栓塞的来源。然而,心房黏液瘤引起的吞咽困难在文献中仅报道过两例。我们报告一名53岁的白种男性,因心房黏液瘤导致慢性吞咽困难,手术切除后吞咽困难完全缓解。

相似文献

1
Rare presentation of atrial myxoma: chest pain, dysphagia and left upper extremity weakness.心房黏液瘤的罕见表现:胸痛、吞咽困难和左上肢无力。
BMJ Case Rep. 2021 Mar 20;14(3):e225460. doi: 10.1136/bcr-2018-225460.
2
A heavy heart; A massive right atrial myxoma causing fatigue and shortness of breath.心情沉重;巨大右心房黏液瘤导致疲劳和呼吸急促。
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Massive right atrial myxoma presenting as congestive heart failure: an unusual presentation of a rare tumour.以充血性心力衰竭为表现的巨大右心房黏液瘤:一种罕见肿瘤的不寻常表现
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Left atrial myxoma complicated with an acute upper extremity embolism.左心房黏液瘤合并急性上肢栓塞。
Ann Thorac Cardiovasc Surg. 2012;18(4):391-4. doi: 10.5761/atcs.cr.11.01723. Epub 2012 Jan 31.
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Acute Myocardial Infarction due to Left Atrial Myxoma.左心房黏液瘤所致急性心肌梗死
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本文引用的文献

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Left atrial myxoma incidentally discovered on transesophageal echocardiography.经食管超声心动图偶然发现左心房黏液瘤。
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Primary cardiac tumors: early and late results of surgical treatment in 91 patients.原发性心脏肿瘤:91例患者手术治疗的早期和晚期结果
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Echocardiographic and morphologic characteristics of left atrial myxoma and their relation to systemic embolism.左心房黏液瘤的超声心动图及形态学特征及其与系统性栓塞的关系。
Am J Cardiol. 1999 Jun 1;83(11):1579-82, A8. doi: 10.1016/s0002-9149(99)00156-3.
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Cardiac myxoma: 40 years' experience in 63 patients.心脏黏液瘤:63例患者的40年经验
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Atrial myxoma: national incidence, diagnosis and surgical management.心房黏液瘤:全国发病率、诊断与外科治疗
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9
CNS embolism due to atrial myxoma: clinical features and diagnosis.心房黏液瘤所致中枢神经系统栓塞:临床特征与诊断
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Atrial myxoma. I. Clinical and pathologic features in nine cases.心房黏液瘤。I. 9例临床及病理特征
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