Department of Cardiology, Punjab Institute of Cardiology, Lahore, Pakistan.
Department of Cardiac Surgery, Punjab Institute of Cardiology, Lahore, Pakistan.
J Pak Med Assoc. 2021 Nov;71(11):2669-2671. doi: 10.47391/JPMA.011690.
Amongst the benign cardiac tumours, atrial myxomas are the commonest. Tricuspid valve attachment is an uncommon site for cardiac myxoma. Here we present the case of an 18-year-old girl who presented with a history of shortness of breath, abdominal distension, leg swelling, palpitations and dizziness for the past two months. On echocardiography, there was a large pedunculated mass attached to the tricuspid valve. She underwent surgical excision of the mass and biopsy confirmed the diagnosis of myxoma. In conclusion, myxoma originating from tricuspid valve is a rare tumour, which can cause tricuspid valve obstruction and right heart failure symptoms due to their location. In these cases, shortness of breath, embolisation and symptoms of venous congestion are commonly observed.
在良性心脏肿瘤中,心房黏液瘤最为常见。三尖瓣附着处是心脏黏液瘤不太常见的部位。在这里,我们报告了 1 例 18 岁女孩的病例,她在过去 2 个月中出现呼吸困难、腹胀、腿部肿胀、心悸和头晕的病史。超声心动图显示有一个大的带蒂肿块附着在三尖瓣上。她接受了肿块的手术切除,活检证实了黏液瘤的诊断。总之,起源于三尖瓣的黏液瘤是一种罕见的肿瘤,由于其位置可引起三尖瓣梗阻和右心衰竭症状。在这些情况下,常见的是呼吸困难、栓塞和静脉充血的症状。