Ishikawa T, Shimizu Y, Kimura E, Takanashi S, Nishizawa K, Kaneko K
Osaka City General Hospital, Division of Cardiovascular Surgery, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1997 Apr;45(4):645-8.
A 43-year-old male presented with a history of occasional syncopal episodes and general fatigue for 4 months. On admission, a grade 4/6 systolic murmur was noted, and the electrocardiogram demonstrated frequent premature supraventricular beats. An echocardiogram revealed the presence of a multi-lobular mass in the right ventricle which prolapsed into the pulmonary artery during systole. Ultrafast computed tomography demonstrated a pedunculated mass arising from the right ventricular free well. At operation, the soft mass was excised through the tricuspid valve under cardiac arrest. Histopathologically, the tumor was diagnosed as a myxoma. Myxoma of the right ventricle occurs very rare. We review the literature relevant to cardiac myxoma.
一名43岁男性,有4个月偶尔晕厥发作和全身乏力的病史。入院时,发现有4/6级收缩期杂音,心电图显示频发室上性早搏。超声心动图显示右心室有一个多叶状肿块,在收缩期脱垂入肺动脉。超速计算机断层扫描显示一个有蒂肿块起源于右心室游离壁。手术中,在心脏停搏下通过三尖瓣切除了这个柔软的肿块。组织病理学检查诊断该肿瘤为黏液瘤。右心室黏液瘤非常罕见。我们回顾了与心脏黏液瘤相关的文献。