Gopal Jay V, Crowley Lauren, Quinn Shawn M, Misselbeck Timothy S, Zackary Joseph B
Department of Emergency and Hospital Medicine, Lehigh Valley Health Network, University of South Florida Morsani College of Medicine, Bethlehem, USA.
Department of Surgery, Lehigh Valley Health Network, University of South Florida Morsani College of Medicine, Bethlehem, USA.
Cureus. 2021 Aug 20;13(8):e17324. doi: 10.7759/cureus.17324. eCollection 2021 Aug.
Primary cardiac tumors are rare, particularly in the elderly population. The patient described in this report presented with symptoms of dyspnea on exertion, leg swelling, and weight gain and was found to have two histologically distinct cardiac masses: atrial myxoma with concurrent aortic fibroelastoma. Given her history of cirrhosis and end-stage renal disease, the patient was a poor surgical candidate but opted for excision of both masses. The patient eventually succumbed to her cirrhosis six weeks after presentation. In this report, we advocate for further research into medical management for the unique presentation of concurrent primary cardiac tumors in high-operative-risk patients, particularly those whose symptoms are mostly due to tamponade.
原发性心脏肿瘤很罕见，在老年人群中尤为如此。本报告中描述的患者出现劳力性呼吸困难、腿部肿胀和体重增加等症状，经检查发现有两个组织学上不同的心脏肿物：心房黏液瘤合并主动脉纤维弹性瘤。鉴于该患者有肝硬化和终末期肾病病史，她并非手术的理想人选，但仍选择切除这两个肿物。该患者最终在就诊六周后死于肝硬化。在本报告中，我们主张针对手术风险高的患者，尤其是那些症状主要由心包填塞引起的患者，并发原发性心脏肿瘤的独特表现，进一步开展药物治疗研究。
