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巨大心房黏液瘤,表现为不明原因咯血。

Massive atrial myxoma presenting with unexplained haemoptysis.

机构信息

Cardiology, Watford General Hospital, Watford, UK

Cardiology, Barts Health NHS Trust, London, UK.

出版信息

BMJ Case Rep. 2022 Apr 29;15(4):e245938. doi: 10.1136/bcr-2021-245938.

Abstract

Cardiac myxomas are scarce and their clinical manifestations can often be misdiagnosed or confused with other medical conditions. However, early diagnosis and surgical resection can prevent devastating complications of myxomas.We herein describe a case of a huge left atrial myxoma of a female patient in her late 30s. What makes our case unique, apart from the massive size of the myxoma, is the unusual clinical presentation with incessant cough and haemoptysis for more than 6 months. The diagnosis was made by echocardiography and cardiac MR and successful surgical resection was performed with good long-term outcome.

摘要

心脏黏液瘤较为罕见,临床表现常易误诊或与其他疾病相混淆。然而,早期诊断和手术切除可以预防黏液瘤的灾难性并发症。本文描述了一位 30 多岁女性患者的巨大左心房黏液瘤病例。除了黏液瘤巨大外,本病例的独特之处在于其不常见的临床表现,即持续咳嗽和咯血超过 6 个月。通过超声心动图和心脏磁共振成像(CMR)做出诊断,并成功进行了手术切除,取得了良好的长期预后。

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