Ballotta E, Thiene G, Valente M L, Deriu G P
G Ital Cardiol. 1979;9(6):627-30.
A case of a left atrial myxoma revealed a saddle occlusion of aortic carrefour is reported. The embolus has been surgically removed and histology allowed to recognise its myxomatous nature, suggesting source for left atrial cavity. Cardiac catheterisation and angiocardiography confirmed the presence of atrial tumor, which has been successfully excised. Embolisation is referred to villous, friable surface of the neoplasm. Employment of echocardiography in patients with arterial emboli from unknown etiology is highly recommended.
报告了一例左心房黏液瘤导致主动脉交叉处鞍形闭塞的病例。栓子已通过手术切除,组织学检查确定其为黏液瘤性质,提示其来源于左心房腔。心导管检查和心血管造影证实了心房肿瘤的存在,该肿瘤已成功切除。栓塞与肿瘤绒毛状、易碎的表面有关。强烈建议对病因不明的动脉栓塞患者使用超声心动图检查。