Becker H J, Kober G, Krehan L, Kaltenbach M, Martin K L
Med Klin. 1978 Mar 31;73(13):447-56.
Refering to a case report of five patients with atrial myxoma the symptoms, diagnosis, and therapy of this disease were described. In one case a biatrial tumor was found. In four cases atrial myxoma imitated a mitral-valve disease. An elevated BSR was found in all patients. The non invasive diagnostic procedure of ultrasound-echocardiography led in the last two cases to the correct diagnosis before heart-catheterization. The diagnosis was ascertained in all cases by angiocardiography. If left atrial tumor is suspected transpulmonary laevocardiography can be considered as a save diagnostic procedure better than the direct injection into the left atrium after transseptal puncture. Even the left ventricular angiogram in right anterior oblique position led in four of the five cases to the diagnosis of left atrial tumor. Coronary-angiography was performed in three patients and revealed pathologic atrial vessels in all three cases. Immediate operation is the indicated therapy. Two of the five patients were reviewed over a eight year period after operation without any signs of recurrence of the tumor.
参考一份关于5例心房黏液瘤患者的病例报告，描述了该疾病的症状、诊断和治疗方法。其中1例发现为双房肿瘤。4例心房黏液瘤表现类似二尖瓣疾病。所有患者血沉均升高。在最后2例中，超声心动图这一无创诊断方法在心脏导管检查前得出了正确诊断。所有病例均通过心血管造影确诊。如果怀疑有左房肿瘤，经肺左心室造影可被视为一种比经房间隔穿刺后直接注入左房更安全的诊断方法。即使是右前斜位的左心室血管造影，在5例中有4例也能诊断出左房肿瘤。3例患者进行了冠状动脉造影，3例均显示心房血管病变。立即手术是指定的治疗方法。5例患者中有2例在术后8年接受复查，未发现肿瘤复发迹象。
