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心脏黏液瘤合并室上性心动过速作为单侧肺水肿的罕见病因

Cardiac Myxoma Associated With Supraventricular Tachycardia as an Unusual Cause of Unilateral Pulmonary Edema.

作者信息

Encarnación-Martínez Uriel, Muciño-Lugo Diana Carolina, Flores-Sánchez César Manuel, Serrano-Vergara José Alejandro, Rosano-Bernal Mihael Joshua, Trejo-Ávila Mario

机构信息

Cardiac Critical Care Unit, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico.

Emergency Department, Hospital General Dr Manuel Gea González, Mexico City, Mexico.

出版信息

JACC Case Rep. 2025 Jan 15;30(2):102817. doi: 10.1016/j.jaccas.2024.102817.

Abstract

A 34-year-old man with sudden palpitations, dyspnea, and chest pain was found to have tachycardia and unilateral pulmonary congestion. Intravenous adenosine restored sinus rhythm. Imaging and pathology confirmed an atrial myxoma with severe mitral regurgitation, requiring surgical excision and mitral valve replacement. This case highlights the complex and rare presentations of cardiac myxomas.

摘要

一名34岁男性,突发心悸、呼吸困难和胸痛,被发现有心动过速和单侧肺充血。静脉注射腺苷恢复了窦性心律。影像学和病理学检查证实为心房黏液瘤伴严重二尖瓣反流,需要手术切除并置换二尖瓣。该病例凸显了心脏黏液瘤复杂且罕见的表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f64c/11775795/09f34e2f30ff/ga1.jpg

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