Leivaditis Vasileios, Beltsios Eleftherios T, Papatriantafyllou Athanasios, Grapatsas Kostas, Mulita Francesk, Dahm Manfred
Department of Cardiothoracic and Vascular Surgery, Westpfalz-Klinikum, Kaiserslautern, DEU.
Department of Anesthesiology and Intensive Care Medicine, Hannover Medical School, Hannover, DEU.
Cureus. 2024 Jul 23;16(7):e65177. doi: 10.7759/cureus.65177. eCollection 2024 Jul.
Cardiac myxomas are the most common benign tumors of the heart, with clinical manifestations varying significantly based on tumor size. Symptoms can range from asymptomatic and mild non-specific presentations to severe obstructive cardiac and systemic findings. This case report describes a 68-year-old female patient who presented with acute decompensated heart failure. Diagnostic evaluation revealed a left atrial myxoma causing significant mitral valve obstruction. The patient underwent emergency cardiac surgery for tumor removal, complicated by severe mitral and tricuspid valve regurgitation. Following valve replacement and repair, the patient required extracorporeal life support. Despite these complexities, she achieved significant recovery and was discharged in good condition. At follow-up, she remained asymptomatic with no signs of cardiac decompensation. This case highlights the importance of considering cardiac myxoma as a differential diagnosis in such cases to prevent potential complications.
心脏黏液瘤是最常见的心脏良性肿瘤，其临床表现因肿瘤大小而有显著差异。症状范围可从无症状和轻度非特异性表现到严重的心脏梗阻和全身症状。本病例报告描述了一名68岁女性患者，她因急性失代偿性心力衰竭就诊。诊断评估发现左心房黏液瘤导致严重的二尖瓣梗阻。该患者接受了紧急心脏手术以切除肿瘤，术中并发严重的二尖瓣和三尖瓣反流。在进行瓣膜置换和修复后，患者需要体外生命支持。尽管情况复杂，但她仍取得了显著恢复并康复出院。随访时，她无症状，无心脏失代偿迹象。本病例强调了在此类病例中考虑心脏黏液瘤作为鉴别诊断以预防潜在并发症的重要性。
