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左心室黏液瘤:病例报告

Left Ventricular Myxoma: A Case Report.

作者信息

Asad Diya, Abu Moch Mass A, Amarin Husam, Abdeen Ahmad W, Sinokrot Jenan, Bhais Nouraldin M, Arda Yasmin N, Khalil Omar R, Safadi Tammah, Khatib Hasan

机构信息

Faculty of Medicine, Al-Quds University, Jerusalem, PSE.

Internal Medicine, Al-Quds University, Jerusalem, PSE.

出版信息

Cureus. 2023 Sep 28;15(9):e46112. doi: 10.7759/cureus.46112. eCollection 2023 Sep.

Abstract

Cardiac myxomas are the most common primary cardiac neoplasms, with only a small percentage being found in the left ventricle. Herein, we describe a 25-year-old male who presented with a complaint of chest pain for almost three months and was found to have a 2x2 cm encapsulated tumor attached by a 2-3 mm stalk to the mid-septum, 5 cm below the aortic annulus, via echocardiography. Additionally, a chest CT angiography was performed and revealed a small defect in the left ventricle with a low attenuation density originating from the septum. The tumor was later managed surgically with a median sternotomy approach, and left ventricular myxoma was confirmed histopathologically. Even though cardiac myxomas are incredibly uncommon, they are usually located in the left and right atria and are very unlikely to present in the left ventricle. This incident highlights the importance of taking cardiac myxoma into account as a potential differential diagnosis in cases of chest pain to prevent any further complications.

摘要

心脏黏液瘤是最常见的原发性心脏肿瘤,只有一小部分出现在左心室。在此,我们描述一名25岁男性,他主诉胸痛近三个月,经超声心动图检查发现有一个2×2厘米的包膜肿瘤,通过2-3毫米的蒂附着于主动脉瓣环下方5厘米处的室间隔中部。此外,进行了胸部CT血管造影,显示左心室有一个小缺损,起源于室间隔的低密度衰减。该肿瘤后来通过正中胸骨切开术进行手术治疗,组织病理学证实为左心室黏液瘤。尽管心脏黏液瘤极为罕见,但它们通常位于左、右心房,很少出现在左心室。这一病例突出了在胸痛病例中将心脏黏液瘤作为潜在鉴别诊断考虑的重要性,以防止任何进一步的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c09/10612123/2e3218e9e108/cureus-0015-00000046112-i01.jpg

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