Bekoutou Amngar, Monfort Astrid, Kisioko Elysé, Tongavelona Adrianna, Randriamiarisoa Heriniaina Daddy, Aline-Fardin Aude, Lesbre Jean Philippe, Inamo Jocelyn
Service de Cardiologie Hémodynamique, Centre Hospitalier Universitaire de Martinique, Fort de France, Martinique.
Centre Hospitalier Universitaire Bon Samaritain de Walia, N´Djamena, Tchad.
Pan Afr Med J. 2024 Aug 28;48:188. doi: 10.11604/pamj.2024.48.188.42137. eCollection 2024.
Intracardiac masses may be revealed by an ischemic cerebrovascular accident (stroke). They are sometimes difficult to differentiate by echocardiography. Determining their nature is a crucial aspect of patient management. We here report the case of a 58-year-old man with untreated hypertension, active smoking, a history of psoriasis, chronic obstructive pulmonary disease (COPD) and a nodule in the left upper lobe suspected to be lung cancer. He was hospitalized for an ischemic stroke which was treated with thrombolysis, resulting in hemorrhagic transformation. Routine echocardiography revealed a large mass in the left atrium suggestive of intra-atrial myxoma. Histological examination of the surgical specimen confirmed the diagnosis. Left atrial myxomas can remain asymptomatic for a long time and may be revealed by systemic embolic complications. Echocardiography guides the diagnosis and anatomopathological examination confirms it. Management should be multidisciplinary.
心内肿物可能由缺血性脑血管意外（中风）发现。有时通过超声心动图很难鉴别它们。确定其性质是患者管理的关键方面。我们在此报告一例58岁男性病例，他患有未经治疗的高血压、长期吸烟、有银屑病、慢性阻塞性肺疾病（COPD）病史，左肺上叶有一个结节，怀疑是肺癌。他因缺血性中风住院，接受了溶栓治疗，导致出血性转化。常规超声心动图显示左心房有一个大肿物，提示心房黏液瘤。手术标本的组织学检查证实了诊断。左心房黏液瘤可能长时间无症状，可能因全身性栓塞并发症而被发现。超声心动图指导诊断，解剖病理学检查予以证实。治疗应采取多学科方法。
