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脑血管意外:一名年轻女性心房黏液瘤的首次表现

Cerebrovascular Accident: An Initial Presentation of Atrial Myxoma in a Young Female.

作者信息

Onyechi Nkemputaife P, Egbuchiem Henry C, Cappello James P

机构信息

Internal Medicine, University Hospitals Geauga Medical Center, Cleveland, USA.

出版信息

Cureus. 2023 Jan 9;15(1):e33529. doi: 10.7759/cureus.33529. eCollection 2023 Jan.

DOI:10.7759/cureus.33529
PMID:36779142
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9906568/
Abstract

Myxomas make up roughly half of all primary cardiac tumors, with three-quarters originating in the left atrial cavity and one-quarter in the right. These tumors can occur sporadically or in families. Atrial myxomas are classified as severe based on factors such as their size, the patient's age and gender, and the tumor's proclivity to embolize or occlude coronary vessels. The case of a young female with an unusual presentation of left atrial myxoma and a new neurovascular deficit is discussed.

摘要

黏液瘤约占所有原发性心脏肿瘤的一半,其中四分之三起源于左心房腔,四分之一起源于右心房。这些肿瘤可散发性出现或呈家族性发病。心房黏液瘤根据其大小、患者年龄和性别以及肿瘤栓塞或阻塞冠状血管的倾向等因素被归类为严重病例。本文讨论了一名年轻女性左心房黏液瘤的不寻常表现及新出现的神经血管缺损的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a049/9906568/b37622574c04/cureus-0015-00000033529-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a049/9906568/d5cd44a89e64/cureus-0015-00000033529-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a049/9906568/6ba3c5d27787/cureus-0015-00000033529-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a049/9906568/a289b0cc7231/cureus-0015-00000033529-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a049/9906568/ca80491c9e2d/cureus-0015-00000033529-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a049/9906568/b37622574c04/cureus-0015-00000033529-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a049/9906568/d5cd44a89e64/cureus-0015-00000033529-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a049/9906568/6ba3c5d27787/cureus-0015-00000033529-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a049/9906568/a289b0cc7231/cureus-0015-00000033529-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a049/9906568/ca80491c9e2d/cureus-0015-00000033529-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a049/9906568/b37622574c04/cureus-0015-00000033529-i05.jpg

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本文引用的文献

1
Subarachnoid Hemorrhage Following Ischemic Stroke Caused by Atrial Myxoma.心房黏液瘤导致缺血性卒中后蛛网膜下腔出血。
Cureus. 2021 Aug 23;13(8):e17402. doi: 10.7759/cureus.17402. eCollection 2021 Aug.
2
Risk prediction for emboli and recurrence of primary cardiac myxomas after resection.原发性心脏黏液瘤切除术后栓子及复发的风险预测
J Cardiothorac Surg. 2016 Feb 2;11:22. doi: 10.1186/s13019-016-0420-4.
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Molecular basis of cardiac myxomas.心脏黏液瘤的分子基础。
Int J Mol Sci. 2014 Jan 20;15(1):1315-37. doi: 10.3390/ijms15011315.
4
Cardiac myxoma the great imitators: comprehensive histopathological and molecular approach.心脏黏液瘤:伟大的模仿者——全面的组织病理学和分子方法。
Int J Cardiol. 2013 Mar 20;164(1):7-20. doi: 10.1016/j.ijcard.2011.12.052. Epub 2012 Jan 11.
5
Clinical presentation and investigation findings in cardiac myxomas: new insights from the developing world.心脏黏液瘤的临床表现及检查结果:来自发展中世界的新见解
Am Heart J. 2007 Dec;154(6):1102-7. doi: 10.1016/j.ahj.2007.07.032. Epub 2007 Sep 12.
6
Central nervous system manifestations of cardiac myxoma.心脏黏液瘤的中枢神经系统表现
Arch Neurol. 2007 Aug;64(8):1115-20. doi: 10.1001/archneur.64.8.1115.