心房黏液瘤患者复发性脑梗死：1 例报告。

Recurrent Ischemic Stroke in a Patient with Atrial Myxoma: A Case Report.

机构信息

Department of Critical Care Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.

Department of Anaesthesiology and Intensive Care, Bir Hospital, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2022 Nov 2;60(255):969-971. doi: 10.31729/jnma.6693.

DOI:10.31729/jnma.6693

PMID:36705184

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9795099/

Abstract

UNLABELLED

Cardiac myxoma is an infrequent but curable cause of ischemic stroke. There are no guidelines addressing the timing of surgery to excise the tumour or for the use of thrombolysis or thrombectomy. We present a case with an ischemic stroke which was diagnosed to have atrial myxoma. She was planned for surgical excision of the tumour but suffered from a second ischemic stroke while awaiting surgery. This article aims to highlight vital aspects of this rare phenomenon and discuss the prospects of the timing of surgery and neurosurgical intervention. The importance of a proper cardiac evaluation in all cases of stroke is highlighted.

KEYWORDS

cardiac tumour; myxoma; cardiac surgery; ischemic stroke.

摘要

关键词：心脏肿瘤；黏液瘤；心脏手术；脑梗死。

未阐明

心脏黏液瘤是一种罕见但可治愈的缺血性脑卒中病因。目前并无针对切除肿瘤的手术时机或溶栓/取栓治疗的指南。我们报告了一例因缺血性脑卒中而诊断为心房黏液瘤的病例。尽管计划对其进行肿瘤切除术，但在等待手术期间患者发生了第二次缺血性脑卒中。本文旨在强调这种罕见现象的重要方面，并讨论手术时机和神经外科干预的前景。本文还强调了在所有脑卒中病例中进行适当心脏评估的重要性。