Tornvall G, Olin C
Acta Med Scand. 1979;206(1-2):123-6. doi: 10.1111/j.0954-6820.1979.tb13479.x.
A case of left atrial myxoma with massive embolization in a 20-year-old woman is described. The initial clinical picture was confusing, but repeated examinations, including enzyme determinations and arteriographies, disclosed the presence of multiple arterial emboli. At embolectomy, histological investigation of embolic masses showed a picture indicating cardiac myxoma. This diagnosis was confirmed by pulmonary angiography and the tumour was removed. Postischaemic oedema of the legs necessitated decompression operations. The peripheral circulation was restored and the final result was excellent. Some aspects of the clinical presentation of this uncommon disease are discussed.
本文描述了一名20岁女性左心房黏液瘤伴大量栓塞的病例。最初的临床表现令人困惑，但包括酶测定和动脉造影在内的反复检查发现存在多处动脉栓塞。在栓子切除术时，对栓塞物的组织学检查显示为心脏黏液瘤的表现。肺血管造影证实了这一诊断，随后切除了肿瘤。腿部的缺血后水肿需要进行减压手术。外周循环得以恢复，最终结果良好。本文还讨论了这种罕见疾病临床表现的一些方面。
