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左心房黏液瘤伴发同步性颈动脉和股动脉栓塞。

Left atrial myxoma presenting with synchronous carotid and femoral embolism.

作者信息

Kaschka W P, Hosemann W

出版信息

J Neurol. 1982;228(3):181-4. doi: 10.1007/BF00313730.

DOI:10.1007/BF00313730
PMID:6186791
Abstract

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.

摘要

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。

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1
Left atrial myxoma presenting with synchronous carotid and femoral embolism.左心房黏液瘤伴发同步性颈动脉和股动脉栓塞。
J Neurol. 1982;228(3):181-4. doi: 10.1007/BF00313730.
2
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[The clinical characteristics of stroke in young patients with cardiac myxoma].[心脏黏液瘤青年患者卒中的临床特征]
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本文引用的文献

1
Cardiac myxomas with systemic embolization. Review of the literature and report of a case.伴有全身栓塞的心脏黏液瘤。文献综述及一例病例报告。
Circulation. 1962 Jul;26:99-103. doi: 10.1161/01.cir.26.1.99.
2
[Indications for conservative or surgical treatment of extracranial vascular stenoses or occlusions].
Dtsch Med Wochenschr. 1980 Aug 1;105(31):1090-5. doi: 10.1055/s-2008-1070819.
3
CNS embolism due to atrial myxoma: clinical features and diagnosis.心房黏液瘤所致中枢神经系统栓塞:临床特征与诊断
Arch Neurol. 1980 Aug;37(8):485-8. doi: 10.1001/archneur.1980.00500570033004.
4
Cerebral angiography in cardiac myxoma. Correlation of angiographic and histopathological findings.心脏黏液瘤的脑血管造影。血管造影与组织病理学发现的相关性。
Radiology. 1970 Aug;96(2):335-45. doi: 10.1148/96.2.335.
5
Cardiac myxoma: a diagnostic challenge for the neurologist.
Neurology. 1976 Nov;26(11):1060-5. doi: 10.1212/wnl.26.11.1060.
6
The diagnostic challenge of left atrial myxoma. Importance of echocardiographic screening.左心房黏液瘤的诊断挑战。超声心动图筛查的重要性。
Acta Med Scand. 1979;206(1-2):115-21. doi: 10.1111/j.0954-6820.1979.tb13478.x.
7
Atrial myxomas: a fifty year review.心房黏液瘤:50年回顾
Am Heart J. 1979 May;97(5):639-43. doi: 10.1016/0002-8703(79)90193-5.
8
Atrial myxoma: a review of the neurological complications, metastases, and recurrences.心房黏液瘤:神经并发症、转移及复发的综述
J Neurol Neurosurg Psychiatry. 1978 Dec;41(12):1119-24. doi: 10.1136/jnnp.41.12.1119.
9
[Computer cardio-tomography for tumours of the left atrium (author's transl)].计算机心脏断层扫描用于左心房肿瘤(作者译)
Rofo. 1978 Dec;129(6):735-9. doi: 10.1055/s-0029-1231196.