Thongcharoen P, Laksanabunsong P, Thongtang V
Department of Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 1997 Dec;80(12):799-806.
A 17-year-old-man who presented with syncope, had a left ventricular (LV) myxoma causing left ventricular outflow tract obstruction. The tumor was removed through left ventriculotomy using conventional cardiopulmonary bypass with good result. There have been 47 cases of LV myxoma reported in the world literature since 1957. Most of them are symptomatic (92.7%). Systemic embolism is the most common manifestation (50%) and often leads to death. The surgical removal should be performed urgently. Resection of the mass with limited normal tissue surrounding its pedicle is recommended. There are only three recurrences and five operative deaths.
一名17岁男性因晕厥就诊，患有左心室黏液瘤导致左心室流出道梗阻。通过左心室切开术，采用传统体外循环将肿瘤切除，效果良好。自1957年以来，世界文献中已报道47例左心室黏液瘤病例。其中大多数有症状（92.7%）。全身栓塞是最常见的表现（50%），且常导致死亡。应紧急进行手术切除。建议切除肿块及其蒂周围有限的正常组织。仅有3例复发和5例手术死亡。
