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本文引用的文献

1
Cardiac Tumors: Diagnosis, Prognosis, and Treatment.心脏肿瘤：诊断、预后和治疗。
Curr Cardiol Rep. 2020 Oct 10;22(12):169. doi: 10.1007/s11886-020-01420-z.
2
Predicting the risk of cardiac myxoma in Carney complex.预测卡尼综合征中心房黏液瘤的风险。
Genet Med. 2021 Jan;23(1):80-85. doi: 10.1038/s41436-020-00956-3. Epub 2020 Sep 7.
3
Atrial myxoma: trends in management.心房黏液瘤：治疗趋势
Int J Health Sci (Qassim). 2008 Jul;2(2):141-51.
4
Surgical resection of atrial myxomas.心房黏液瘤的手术切除
AORN J. 2010 Oct;92(4):393-406, quiz 407-9. doi: 10.1016/j.aorn.2010.06.012.
5
A heavy heart; A massive right atrial myxoma causing fatigue and shortness of breath.心情沉重；巨大右心房黏液瘤导致疲劳和呼吸急促。
Ir Med J. 2010 Mar;103(3):83-4.
6
Characterization and management of cardiac tumors.心脏肿瘤的特征与管理
Semin Cardiothorac Vasc Anesth. 2010 Mar;14(1):6-20. doi: 10.1177/1089253210362596.
7
Large left atrial myxoma presented as fever of unknown origin: a challenging diagnosis and a review of the literature.巨大左房黏液瘤表现为不明原因发热：一项具有挑战性的诊断及文献综述
Cardiovasc Pathol. 2007 Nov-Dec;16(6):365-7. doi: 10.1016/j.carpath.2007.01.001. Epub 2007 Feb 22.
8
Atrial myxomas: pathologic types, tumor location, and presenting symptoms.心房黏液瘤：病理类型、肿瘤位置及临床表现
J Card Surg. 2006 Jul-Aug;21(4):435-40. doi: 10.1111/j.1540-8191.2006.00265.x.
9
Histopathologic and clinical characterization of cardiac myxoma: review of 53 cases from a single institution.心脏黏液瘤的组织病理学与临床特征：单机构53例病例回顾
Am Heart J. 2000 Jul;140(1):134-8. doi: 10.1067/mhj.2000.107176.

气短被误诊时：心房黏液瘤病例报告

When Shortness of Breath Gets Misdiagnosed: Atrial Myxoma Case Report.

作者信息

Mirza Sahaam, Tyler Tori, Stauffer Robert

机构信息

Cardiology, Kansas City University of Medicine and Biosciences, Kansas City, USA.

Osteopathic Medicine, Kansas City University, Kansas City, USA.

出版信息

Cureus. 2023 Feb 7;15(2):e34740. doi: 10.7759/cureus.34740. eCollection 2023 Feb.

DOI:10.7759/cureus.34740
PMID:36909074
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9997999/
Abstract

The vague presentation of an atrial myxoma makes accurate diagnosis difficult. This case report reviews the case of a 54-year-old female who presented to the Emergency Department complaining of shortness of breath and back pain. Prior to her Emergency Department evaluation, she had been given a diagnosis with pneumonia. Upon further evaluation, she was diagnosed with a large left atrial myxoma that was surgically removed via median sternotomy. After recovering from her surgery, the patient had a full resolution of her symptoms. Although the treatment for myxomas has a high success rate of full recovery, the difficulty in diagnosis poses problems for patients and can prolong symptoms due to potential misdiagnosis.

摘要

心房黏液瘤的表现不明确，难以准确诊断。本病例报告回顾了一名54岁女性的病例，该患者因呼吸急促和背痛前往急诊科就诊。在急诊科评估之前，她被诊断为肺炎。经过进一步评估，她被诊断出患有一个巨大的左心房黏液瘤，并通过正中胸骨切开术进行了手术切除。手术后康复后，患者的症状完全消失。尽管黏液瘤的治疗有很高的完全康复成功率，但诊断困难给患者带来了问题，并且由于可能的误诊会延长症状持续时间。