Kaplan L J, Weiman D S, VanDecker W, Sokil A B, Whitman G J
Division of Cardiothoracic Surgery, Medical College Hospitals-Main Clinical Campus, Phiadelphia, PA 19129.
Ann Thorac Surg. 1994 Feb;57(2):487-8; discussion 488-9. doi: 10.1016/0003-4975(94)91029-4.
We identified a biatrial myxoma using transesophageal echocardiography whose right atrial component was missed with conventional transthoracic techniques. Identifying the biatrial component directs a safer approach to right heart catheterization. Infected biatrial myxomas are both rare and successfully managed using prolonged intravenous antibiotic therapy followed by resection. Atrial septal defects created during the resection of an infected myxoma may be safely repaired using a prosthetic patch.
我们通过经食管超声心动图发现了一例双房黏液瘤，其右房部分在传统经胸技术检查中被漏诊。识别双房成分可指导更安全的右心导管检查方法。感染性双房黏液瘤罕见，可通过延长静脉抗生素治疗后再行切除术成功治疗。切除感染性黏液瘤时造成的房间隔缺损可用人工补片安全修复。
