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心房黏液瘤的诊断与临床特征(作者译)

[Diagnostic and clinical features of atrial myxoma (author's transl)].

作者信息

Braunsteiner H, Aigner A, Hörtnagl H, Mikuz G

出版信息

Wien Klin Wochenschr. 1978 Mar 3;90(5):161-8.

PMID:629059
Abstract

The most common benign cardiac tumours are artial myxomas. Characteristically they may interfere with the normal functioning of atrioventricular valves or manifest themselves by embolism to cerebral or peripheral arteries or they may mimic systemic diseases. Hence, early diagnosis and immediate surgical treatment are important. A case of left atrial myxoma is reported and the various non-invasive and invasive diagnositc methods and their significance are outlined. If the angiocardiographic findings are questionable, the echocardiographic features are believed to be of greater reliability. Finally, the histopathology of atrial myxoma, the rate of tumour growth, as well as the possibility of postoperative reappearance of the myxoma are discussed.

摘要

最常见的心脏良性肿瘤是心房黏液瘤。其特征可能是干扰房室瓣的正常功能,或通过栓塞脑动脉或外周动脉而表现出来,也可能类似全身性疾病。因此,早期诊断和立即手术治疗很重要。本文报告一例左心房黏液瘤,并概述了各种非侵入性和侵入性诊断方法及其意义。如果心血管造影结果有疑问,超声心动图特征被认为具有更高的可靠性。最后,讨论了心房黏液瘤的组织病理学、肿瘤生长速度以及黏液瘤术后复发的可能性。

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