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一例以晕厥为表现的巨大左房黏液瘤罕见病例。

A Rare Case of Massive Left Atrial Myxoma Presenting as Syncope.

作者信息

Kurnick Adam, Burkhanova Umida, Friedman Adam, John Sabu, Bukharovich Inna

机构信息

Department of Medicine, State University of New York (SUNY) Downstate Health Sciences University, Brooklyn, USA.

Department of Cardiology, State University of New York (SUNY) Downstate Health Sciences University, Brooklyn, USA.

出版信息

Cureus. 2023 Jul 1;15(7):e41249. doi: 10.7759/cureus.41249. eCollection 2023 Jul.

Abstract

We report a rare case of a large left atrial myxoma that manifested as syncope in a patient who presented to the hospital following a syncopal episode. Our patient had a history of hypertension and anemia with reported two months of dyspnea on exertion. He was found to have a large left atrial myxoma. Atrial myxomas are the most common benign primary cardiac tumors. Patients may be asymptomatic or experience shortness of breath, palpitations, syncope, or sudden death. Cases of syncope caused by left atrial myxoma have been rarely documented. Our case report adds to the growing literature documenting this phenomenon. Larger observational studies are needed to properly define the incidence of left atrial myxoma causing syncope.

摘要

我们报告了一例罕见的左心房巨大黏液瘤病例,该患者因晕厥发作后入院,其晕厥症状由左心房巨大黏液瘤引起。我们的患者有高血压和贫血病史,据报告有两个月的劳力性呼吸困难。他被发现患有左心房巨大黏液瘤。心房黏液瘤是最常见的原发性心脏良性肿瘤。患者可能无症状,或出现呼吸急促、心悸、晕厥或猝死。由左心房黏液瘤引起晕厥的病例鲜有文献记载。我们的病例报告为记录这一现象的文献增添了内容。需要更大规模的观察性研究来准确界定左心房黏液瘤导致晕厥的发生率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0146/10388804/b8e5c7b6b7d5/cureus-0015-00000041249-i01.jpg

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