Ishikawa K, Hoshino S, Iwaya F, Igari T, Watanabe M, Sato K
Department of Cardiovascular Surgery, Fukushima Medical College, Japan.
Kyobu Geka. 1996 Nov;49(12):1014-7.
Left ventricular myxoma is very rare, and only 37 cases have been reported at present time. We here report a case of surgical extirpation of a left ventricular myxoma arising from the septal wall of the left ventricule. A 74-year-old woman was examined by transesophageal echocardiography because of palpitation. It revealed a small mass in the left ventricular cavity. This mass was then diagnosed and confirmed as a myxoma by echocardiogram, CT and MRI. MRI imaging showed the intensity of the myxoma to be higher than that of the myocardium. The myxoma was removed by transaortic approach using extracorponeal circulation. The grayly gelatinous mass was 11 x 12 x 12 mm and weighed 0.6 g. It was diagnosed as a myxoma pathohistologically. The patient recovered uneventfully and was discharged four weeks after the operation.
左心室黏液瘤非常罕见,目前仅报道过37例。我们在此报告1例源于左心室间隔壁的左心室黏液瘤手术摘除病例。一名74岁女性因心悸接受经食管超声心动图检查。检查发现左心室腔内有一个小肿块。随后通过超声心动图、CT和MRI诊断并确诊该肿块为黏液瘤。MRI成像显示黏液瘤的信号强度高于心肌。采用体外循环经主动脉途径摘除黏液瘤。灰白色胶冻样肿块大小为11×12×12mm,重0.6g。病理组织学诊断为黏液瘤。患者恢复顺利,术后四周出院。