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以晕厥为表现的左房肿物脱垂

Prolapsing Left Atrial Mass Presenting as Syncope.

作者信息

Pathare Presheet, Weyand Michael, Heim Christian

机构信息

Department of Cardiac Surgery, Friedrich Alexander University of Erlangen-Nuremberg, Erlangen, Germany.

出版信息

Thorac Cardiovasc Surg Rep. 2022 Jul 19;11(1):e44-e46. doi: 10.1055/s-0042-1749140. eCollection 2022 Jan.

Abstract

Myxomas are the most common primary cardiac tumor in adults and are most commonly found within the left atrium. These are usually asymptomatic, detected incidentally, or present gradually with symptoms typical of heart failure.  This case report is a description of a case of syncope caused by a large left atrial myxoma.  Atrial myxomas may present with transient loss of consciousness, especially when they prolapse through the atrioventricular valves or when embolization occurs. Non-invasive diagnostic tools (e.g., echocardiogram, cardiac computed tomography) should be considered to thoroughly evaluate cardiogenic causes of syncope.

摘要

黏液瘤是成人最常见的原发性心脏肿瘤,最常发生于左心房。这些肿瘤通常无症状,多为偶然发现,或逐渐出现心力衰竭的典型症状。 本病例报告描述了一例由巨大左心房黏液瘤引起的晕厥病例。 心房黏液瘤可能导致短暂意识丧失,尤其是当它们通过房室瓣脱垂或发生栓塞时。应考虑使用非侵入性诊断工具(如超声心动图、心脏计算机断层扫描)来全面评估晕厥的心脏源性病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f253/9296267/1d451c1b3f95/10-1055-s-0042-1749140-i210420crc-1.jpg

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