Nihoyannopoulos P, Venkatesan P, David J, Hackett D, Valantine H, Oakley C M
Br Heart J. 1986 Dec;56(6):554-60. doi: 10.1136/hrt.56.6.554.
No cardiological signs or symptoms were seen in three patients with left atrial myxomas. The diagnosis was established by cross sectional echocardiography. In two patients this investigation was performed to exclude a cardiac source of systemic emboli. The third patient had constitutional signs only. All three had raised erythrocyte sedimentation rates and C reactive protein concentrations. In two patients the myxomas were successfully excised; the third patient who had presented with massive peripheral and central embolisation died during emergency operation. Cross sectional echocardiography is the technique of choice for detecting atrial myxomas and the absence of the cardiological signs should not preclude referral for diagnostic echocardiography.
三名左心房黏液瘤患者未出现心脏体征或症状。诊断通过横断面超声心动图得以确立。其中两名患者进行该项检查是为了排除全身性栓子的心脏来源。第三名患者仅有全身症状。所有三名患者的红细胞沉降率和C反应蛋白浓度均升高。两名患者的黏液瘤成功切除；第三名出现大量外周和中心栓塞的患者在急诊手术期间死亡。横断面超声心动图是检测心房黏液瘤的首选技术，心脏体征的缺失不应排除进行诊断性超声心动图检查的转诊。
