Kaschka W P, Hosemann W
J Neurol. 1982;228(3):181-4. doi: 10.1007/BF00313730.
Synchronous embolism of the right femoral and the left internal carotid arteries, occurring in a 39-year-old teacher upon physical effort, was found to be due to a left atrial myxoma. Clinical findings, electrocardiogram and chest radiographs had suggested myocarditis. The patient died of cerebral infarction. In cases of suspected myocarditis, left atrial myxoma has to be considered in the differential diagnosis. Histological examination is recommended of any material obtained by embolectomy.
一名39岁的教师在体力活动时发生右股动脉和左颈内动脉同时栓塞,发现是由左心房黏液瘤引起的。临床症状、心电图和胸部X光片曾提示为心肌炎。患者死于脑梗死。对于疑似心肌炎的病例,鉴别诊断时必须考虑左心房黏液瘤。建议对通过栓子切除术获取的任何材料进行组织学检查。