Spiliopoulos Kyriakos, Anyfantakis Zacharias A, Diminikos Ilias, Xanthopoulos Andrew, Magouliotis Dimitrios E, Skoularigis John, Triposkiadis Filippos
Department of Thoracic and Cardiovascular Surgery Faculty of Medicine School of Health Sciences University of Thessaly Larissa Greece.
Department of Cardiology Faculty of Medicine School of Health Sciences University of Thessaly Larissa Greece.
Clin Case Rep. 2021 May 4;9(5):e04029. doi: 10.1002/ccr3.4029. eCollection 2021 May.
Although myxoma represents the most frequent non-malignant cardiac primary tumor; it is extremely rare met in the left ventricle. Clinical features of the neoplasm extend from symptomless to critical signs of either ischemia or embolism. We describe here an unusual case of a huge left ventricular myxoma in a 68-year-old man, presented with clinical and ECG findings of an inferior wall myocardial infarction. The patient was primarily referred to our institution for coronary angiography, which showed no coronary artery disease. Further examinations revealed a left ventricular mass as the possible source of embolization, thus the patient underwent surgery for tumor excision. The postoperative course was unremarkable. A bibliographical analysis demonstrated that those tumors are rare but treatable causes of embolic myocardial infarction, thus profound clinical intuition, proper utilization of imaging modalities, administration of anticoagulants preoperatively, as well immediate surgical removal are justified.
虽然黏液瘤是最常见的非恶性心脏原发性肿瘤，但在左心室中极为罕见。该肿瘤的临床特征从无症状到缺血或栓塞的危急征象不等。我们在此描述一例68岁男性巨大左心室黏液瘤的罕见病例，其临床表现及心电图表现为下壁心肌梗死。该患者最初因冠状动脉造影被转诊至我院，造影显示无冠状动脉疾病。进一步检查发现左心室肿物可能是栓塞的来源，因此患者接受了肿瘤切除手术。术后病程顺利。文献分析表明，这些肿瘤是导致栓塞性心肌梗死的罕见但可治疗的原因，因此深厚的临床直觉、合理使用影像学检查手段、术前给予抗凝剂以及立即进行手术切除都是合理的。
