Silvestre G, Anselmi M, Mazzucco A
Istituto di Cardiologia e Chirurgia Cardiovascolare, Università di Verona.
G Ital Cardiol. 1994 Jun;24(6):769-72.
We describe the case of a young patient in whom two-dimensional echocardiography, performed because of mild palpitation, discovered the presence of a small mass into the left ventricle, attached to the interventricular septum. The patient was operated upon on cardiopulmonary by-pass, and the mass was removed through the aortic valve, without any complication during the postoperative period. On histology the mass appeared to be a typical myxoma. This case has been reported because the infrequency of ventricular location of the myxoma is unusual, and because the use of 2D-echocardiography, even in the absence of significant symptoms and/or clinical signs, avoided dangerous embolic complications, which often represent the first sign of this neoplastic pathology.
我们描述了一名年轻患者的病例，该患者因轻度心悸接受二维超声心动图检查时，发现左心室内有一个附着于室间隔的小肿块。患者在体外循环下接受手术，通过主动脉瓣切除了肿块，术后无任何并发症。组织学检查显示该肿块为典型的黏液瘤。报告此病例是因为黏液瘤位于心室的情况罕见，还因为即使在没有明显症状和/或临床体征的情况下，二维超声心动图的使用避免了危险的栓塞并发症，而栓塞并发症往往是这种肿瘤性病变的首发症状。
