Final Year MBBS Student, Dow University of Health Sciences, Karachi, Pakistan.
Final Year MBBS Student, Dow International Medical College, Karachi, Pakistan.
J Pak Med Assoc. 2024 Sep;74(9):1732-1734. doi: 10.47391/JPMA.10253.
Atrial Myxoma is the most common primary benign tumour of the heart, commonly found in the left atrium. It typically presents in young females with characteristic features such as, constitutional symptoms, chest pain, and cardiac murmurs. However, atypical presentations can occur; causing a diagnostic challenge. This case report describes a 75-year-old male who visited the cardiology outpatient department of Dow Institute of Cardiology, Karachi on 18th April, 2023 with a left-sided atrial myxoma in late adulthood without typical features including constitutional symptoms, chest pain, syncope, dizziness, digital clubbing or neurologic findings. Further discussed are the diagnostic techniques used to find the tumour and the treatment strategy. This case report highlights the need for cardiologists to consider Atrial Myxoma as a potential diagnosis, even in the absence of typical symptoms, in elderly male population.
心房黏液瘤是心脏最常见的原发性良性肿瘤，常见于左心房。它通常发生在年轻女性身上，具有特征性表现，如全身症状、胸痛和心杂音。然而，也可能出现不典型表现，导致诊断困难。本病例报告描述了一名 75 岁男性，于 2023 年 4 月 18 日因左心房黏液瘤就诊于卡拉奇道研究所心脏病学门诊部，该患者在老年期出现左心房黏液瘤，但无典型特征，包括全身症状、胸痛、晕厥、头晕、杵状指或神经学表现。进一步讨论了用于发现肿瘤的诊断技术和治疗策略。本病例报告强调了即使在老年男性人群中没有典型症状，心脏病专家也需要考虑心房黏液瘤作为潜在诊断。
