[双侧心房黏液瘤——一项诊断挑战]

[Biatrial myxomas--a diagnostic challenge].

作者信息

Dittmann H, Marschall H U, Jacksch R, Konz K H, Huth C, Karsch K R, Hoffmeister H E, Seipel L

出版信息

Dtsch Med Wochenschr. 1986 May 16;111(20):785-7. doi: 10.1055/s-2008-1068532.

DOI:10.1055/s-2008-1068532

Abstract

Like isolated cardiac myxoma, biatrial myxoma may manifest itself only by extracardiac symptoms over a prolonged period. A 24-year-old patient presented over seven years a history of repeated arthalgia with concomitant anaemia, elevated blood sedimentation rate, positive antistreptolysin test and electrophoretic signs of inflammation. A discrete systolic sound on auscultation gave rise to an echocardiographic examination which revealed a biatrial myxoma.

摘要

与孤立性心脏黏液瘤一样，双侧心房黏液瘤可能在很长一段时间内仅表现为心外症状。一名24岁患者在七年多的时间里有反复关节痛病史，伴有贫血、血沉升高、抗链球菌溶血素试验阳性及炎症的电泳迹象。听诊时一个离散的收缩期声音引发了超声心动图检查，结果显示为双侧心房黏液瘤。