一对左心房黏液瘤酷似左心耳血栓并导致一名年轻成年人缺血性卒中：病例报告
A pair of two atrial myxomas mimic thrombus in left atrial appendage and cause ischemic stroke in a young adult: a case report.
作者信息
Shahverdi Ehsan, Bolte Hendrik, Schneider Carsten, Lange Mathias
机构信息
Department of Cardiology, Rhythmology, Angiology and Intensive Care Medicine, Heart Center Osnabrueck, Hospital Osnabrueck, Westphalian Wilhelms University of Muenster, Osnabrueck, Germany.
Department of Radiology, Hospital Osnabrueck, Westphalian Wilhelms University of Muenster, Osnabrueck, Germany.
出版信息
Eur Heart J Case Rep. 2024 Nov 22;8(12):ytae615. doi: 10.1093/ehjcr/ytae615. eCollection 2024 Dec.
BACKGROUND
Stroke is one of the leading causes of mortality and disability and can be rarely caused by cardiac myxoma.
CASE SUMMARY
Here, we report about a 56-year-old man who suffered from a stroke presented with acute dysarthria and left hemiparesis. Magnetic resonance imaging (MRI) of the brain revealed an acute stroke. Atrial fibrillation (AF) was assumed the cause of stroke. Because of contraindication to anticoagulation due to previous cerebral haemorrhage with rivaroxaban the patient was admitted to interventional occlusion of left atrial appendage. Echocardiography revealed two left atrial masses suggestive of atrial myxomas. The patient was transferred to remove the two myxomas operatively with simultaneous resection of left atrial appendage.
DISCUSSION
Atrial myxomas should be considered as a possible differential diagnosis of cardioembolic stroke. They should be managed early to prevent recurrent strokes.
背景
中风是导致死亡和残疾的主要原因之一，而心脏黏液瘤很少引发中风。
病例摘要
在此，我们报告一名56岁男性，因中风出现急性构音障碍和左侧偏瘫。脑部磁共振成像（MRI）显示为急性中风。房颤（AF）被认为是中风的病因。由于既往有脑出血病史且使用利伐沙班抗凝存在禁忌证，该患者接受了左心耳介入封堵术。超声心动图显示左心房有两个肿块，提示心房黏液瘤。患者被转至手术室切除这两个黏液瘤并同时切除左心耳。
讨论
心房黏液瘤应被视为心源性栓塞性中风可能的鉴别诊断。应尽早进行治疗以预防中风复发。
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