Liu Siming, Ding Fangbao, Zhu Jiaquan
Department of Cardiothoracic Surgery, Xinhua Hospital, Shanghai Jiaotong University School of medicine, Shanghai, China.
Cardiol Young. 2025 May;35(5):1088-1091. doi: 10.1017/S1047951125001659. Epub 2025 May 19.
Atrial myxoma in children is rare, with vision loss and cerebral metastasis seldom reported. We present the case of a 12-year-old girl who experienced sudden vision loss and acute infarction, with a left atrial myxoma identified and surgically resected. One year later, she was readmitted with severe neurological symptoms. Imaging revealed multiple hypometabolic brain lesions, which were confirmed as metastatic myxoma through surgical resection and pathology. This case underscores the critical need for long-term follow-up in patients with cardiac myxoma to monitor potential delayed neurological complications.
儿童心房黏液瘤罕见，视力丧失和脑转移鲜有报道。我们报告一例12岁女孩，她突然出现视力丧失和急性梗死，经检查发现左心房黏液瘤并接受了手术切除。一年后，她因严重神经症状再次入院。影像学检查发现多个低代谢性脑病变，经手术切除和病理检查确诊为转移性黏液瘤。该病例强调了对心脏黏液瘤患者进行长期随访以监测潜在延迟性神经并发症的迫切需求。
