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超声检查诊断左心房黏液瘤合并左心室黏液瘤 1 例报告。

Left atrial myxoma with left ventricular myxoma diagnosed by ultrasound examination: A case report.

机构信息

Department of Ultrasound, Yancheng Dafeng People's Hospital, Yancheng, Jiangsu, P.R. China.

Department of Ultrasound, The First Affiliated Hospital of Wannan Medical College, Wuhu, Anhui, P.R. China.

出版信息

Medicine (Baltimore). 2021 Aug 13;100(32):e26903. doi: 10.1097/MD.0000000000026903.

Abstract

RATIONALE

Left ventricular (LV) myxoma is a rare type of benign cardiac tumor, which may result in unfavorable consequences due to embolism, arrhythmia, obstruction to the outflow tract, and other constitutional symptoms. LV myxoma can be easily misdiagnosed as LV thrombosis. Although some literatures have reported LV myxoma, the echocardiographic features of Left atrial (LA) myxoma with LV myxoma have rarely been reported till date. Here, we report case of LA myxoma with LV myxoma diagnosed by echocardiographic examination.

PATIENT CONCERNS

A 56-year-old male patient suffering from chest tightness and asthma for 6 months and progressive aggravation for 1 month was admitted to our hospital.

DIAGNOSIS

Echocardiographic imaging gave the suspicion of LA myxoma with LV myxoma, which was confirmed by pathology.

INTERVENTIONS

This patient was treated surgically.

OUTCOMES

The patient had no postoperative complications and is currently under regular follow-up.

LESSONS

Echocardiography can be an effective imaging method for the evaluation of LV myxoma. The combination of echocardiography and clinical symptoms may help to make an accurate diagnosis.

摘要

背景

左心室(LV)黏液瘤是一种罕见的良性心脏肿瘤,由于栓塞、心律失常、流出道阻塞和其他全身症状,可能导致不良后果。LV 黏液瘤容易误诊为 LV 血栓形成。尽管一些文献已经报道了 LV 黏液瘤,但左心房(LA)黏液瘤合并 LV 黏液瘤的超声心动图特征迄今鲜有报道。在此,我们报告了经超声心动图检查诊断的 LA 黏液瘤合并 LV 黏液瘤病例。

病例介绍

一名 56 岁男性患者,胸闷伴哮喘 6 个月,进行性加重 1 个月,就诊于我院。

诊断

超声心动图检查提示 LA 黏液瘤合并 LV 黏液瘤,经病理证实。

干预措施

该患者接受了手术治疗。

治疗结果

患者术后无并发症,目前定期随访中。

结论

超声心动图可作为评估 LV 黏液瘤的有效影像学方法。超声心动图与临床症状相结合,有助于做出准确诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b07/8360474/9556d1a962a1/medi-100-e26903-g001.jpg

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