Roeltgen D P, Weimer G R, Patterson L F
Neurology. 1981 Jan;31(1):8-13. doi: 10.1212/wnl.31.1.8.
We studied the delayed neurologic complications of left atrial myxoma in 2 patients and analyzed 47 previously published cases. Embolic cerebral infarctions may occur before surgical removal of the primary cardiac tumor, but aneurysm formation and hemorrhage may be delayed, whether or not there is evidence of neurologic disorder at the time of initial surgery. The true incidence of these delayed complications is unknown. Resultant aneurysms may show progressive enlargement, and treatment with doxorubicin failed to prevent aneurysm enlargement in one patient. Better guidelines are needed for clinical management in these patients.
我们研究了2例左心房黏液瘤的迟发性神经并发症，并分析了47例先前发表的病例。在手术切除原发性心脏肿瘤之前可能发生栓塞性脑梗死，但无论初次手术时是否有神经系统疾病的证据，动脉瘤形成和出血可能会延迟出现。这些迟发性并发症的真实发生率尚不清楚。由此产生的动脉瘤可能会逐渐增大，在1例患者中，阿霉素治疗未能阻止动脉瘤增大。对于这些患者的临床管理，需要更好的指导原则。
