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一例罕见的黏液瘤酷似肺血栓栓塞症:病例报告

A rare case of myxoma mimicking pulmonary thromboembolism: a case report.

作者信息

Hajsadeghi Shokoufeh, Hosseini Saeid, Saidi Hossein, Mirshafiee Shayan

机构信息

Research Center for Prevention of Cardiovascular Disease, Institute of Endocrinology and Metabolism, Iran University of Medical Sciences, Tehran, Iran.

Heart Valve Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Front Cardiovasc Med. 2024 Aug 27;11:1433381. doi: 10.3389/fcvm.2024.1433381. eCollection 2024.

Abstract

Studies have shown that primary cardiac tumors are exceptionally rare and among them myxomas represents approximately half. Although majority of these benign tumors are located in left atrium, they can also emerge in the right cardiac chambers and also on cardiac valves. In rare instances, they may extend into the great vessels. In this case, we present a teenage girl with a past medical history of successfully cured acute lymphoblastic leukemia, who presented with progressive dyspnea and lower limbs edema. Based on history, laboratory, and echocardiographic evidences, she was initially treated for high-risk thromboembolism but after inefficient response, she underwent surgery, with a large right ventricular outflow tract myxoma being diagnosed.

摘要

研究表明,原发性心脏肿瘤极为罕见,其中黏液瘤约占一半。虽然这些良性肿瘤大多位于左心房,但也可出现在右心腔以及心脏瓣膜上。在罕见情况下,它们可能延伸至大血管。在此病例中,我们报告一名有急性淋巴细胞白血病成功治愈病史的少女,她出现进行性呼吸困难和下肢水肿。根据病史、实验室检查及超声心动图证据,她最初接受了高风险血栓栓塞的治疗,但治疗效果不佳后接受了手术,术中诊断为巨大右心室流出道黏液瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f392/11383761/acffabd14027/fcvm-11-1433381-g001.jpg

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