Xiao Weizhang, Qin Jing, Feng Jia, Jiang Feng, Chen Xinming, Cao Xiang, Xue Qun, Shi Jiahai
Department of Cardiothoracic Surgery, Affiliated Hospital and Medical School of Nantong University, Nantong, China.
Department of Echocardiography, Affiliated Hospital and Medical School of Nantong University, Nantong, China.
Front Cardiovasc Med. 2024 Feb 14;11:1323890. doi: 10.3389/fcvm.2024.1323890. eCollection 2024.
Primary cardiac tumors are uncommon, with the majority being benign myxomas. Cystic myxoma, a particularly rare type of benign cardiac tumor, demands cautious differential diagnosis from other cardiac tumors.
A 43-year-old male patient presenting with intermittent dyspnea was referred to our department for surgical evaluation. Transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE) unveiled an intra-left atrial cyst, which was subsequently found to be blood-filled during a video-assisted microinvasive heart surgery. Pathological examination depicted a cyst wall filled with small stellate and fat spindle cells, along with a mucoid matrix, indicating a diagnosis of cystic myxoma.
We herein presented a rare case of an adult patient with cystic myxoma, initially misdiagnosed as an intracardiac blood cyst (CBC) prior to surgery, and ultimately verified via pathological findings.
原发性心脏肿瘤并不常见，大多数为良性黏液瘤。囊性黏液瘤是一种特别罕见的良性心脏肿瘤，需要与其他心脏肿瘤进行谨慎的鉴别诊断。
一名43岁男性患者因间歇性呼吸困难前来我院接受手术评估。经胸超声心动图（TTE）和经食管超声心动图（TEE）显示左心房内有一个囊肿，随后在电视辅助微创心脏手术中发现该囊肿充满血液。病理检查显示囊肿壁上有小的星状和脂肪梭形细胞以及黏液样基质，诊断为囊性黏液瘤。
我们在此报告了一例罕见的成年囊性黏液瘤患者，术前最初被误诊为心内血囊肿（CBC），最终通过病理检查得以证实。
