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巨大心脏黏液瘤的后遗症与外科治疗

Sequelae and Surgical Management of Giant Cardiac Myxoma.

作者信息

Hernandez Norvin, DiLeo Michael, Wong Christopher K, Alam Mahboob

机构信息

Department of Medicine, Section of Cardiology, Baylor College of Medicine, Houston, Texas.

出版信息

Tex Heart Inst J. 2025 Apr 22;52(1):e248413. doi: 10.14503/THIJ-24-8413. eCollection 2025 Jan-Jun.

DOI:10.14503/THIJ-24-8413
PMID:40276141
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12018764/
Abstract

Cardiac myxomas are a rare phenomenon within the general population, and although there are reports of them, giant myxomas are not common in the medical literature. This report presents a case of a giant left atrial cardiac myxoma in a 57-year-old female patient who was largely asymptomatic until she presented with a diffuse thromboembolic stroke. This case report highlights the importance of surgical management of cardiac myxomas and discusses the difference in open vs minimally invasive surgical resection of giant cardiac myxomas.

摘要

心脏黏液瘤在普通人群中是一种罕见现象,虽然有相关报道,但巨大黏液瘤在医学文献中并不常见。本报告介绍了一例57岁女性患者的巨大左心房心脏黏液瘤病例,该患者在出现弥漫性血栓栓塞性中风之前基本无症状。本病例报告强调了心脏黏液瘤手术治疗的重要性,并讨论了巨大心脏黏液瘤开放手术与微创手术切除的差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b7e/12018764/2e08b94aff8e/i1526-6702-52-1-e248413-f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b7e/12018764/02efdb762c66/i1526-6702-52-1-e248413-f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b7e/12018764/eb7c7f2e7a63/i1526-6702-52-1-e248413-f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b7e/12018764/2e08b94aff8e/i1526-6702-52-1-e248413-f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b7e/12018764/02efdb762c66/i1526-6702-52-1-e248413-f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b7e/12018764/eb7c7f2e7a63/i1526-6702-52-1-e248413-f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b7e/12018764/2e08b94aff8e/i1526-6702-52-1-e248413-f03.jpg

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Sequelae and Surgical Management of Giant Cardiac Myxoma.巨大心脏黏液瘤的后遗症与外科治疗
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本文引用的文献

1
Cardiac myxomas: A narrative review.心脏黏液瘤:一篇叙述性综述。
World J Cardiol. 2022 Apr 26;14(4):206-219. doi: 10.4330/wjc.v14.i4.206.
2
Asymptomatic Left Atrial Myxoma Treated With Minimally Invasive Surgical Approach.采用微创外科手术方法治疗无症状性左心房黏液瘤。
Cureus. 2021 Oct 2;13(10):e18432. doi: 10.7759/cureus.18432. eCollection 2021 Oct.
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Surgical pathology of cardiac tumors. Two decades at an urban institution.心脏肿瘤的外科病理学。在一家城市医疗机构的二十年。
Cardiovasc Pathol. 2003 Sep-Oct;12(5):267-70. doi: 10.1016/s1054-8807(03)00087-5.
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Clinical presentation of left atrial cardiac myxoma. A series of 112 consecutive cases.左心房心脏黏液瘤的临床表现。连续112例病例系列。
Medicine (Baltimore). 2001 May;80(3):159-72. doi: 10.1097/00005792-200105000-00002.
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Histopathologic and clinical characterization of cardiac myxoma: review of 53 cases from a single institution.心脏黏液瘤的组织病理学与临床特征:单机构53例病例回顾
Am Heart J. 2000 Jul;140(1):134-8. doi: 10.1067/mhj.2000.107176.
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Pathology of surgically excised primary cardiac tumors.手术切除的原发性心脏肿瘤的病理学
Mayo Clin Proc. 1992 Oct;67(10):957-65. doi: 10.1016/s0025-6196(12)60926-4.