Ztot S, Henry P, Fornes P, Boughalem K, Chauvaud S, Guermonprez J L
Département de cardiologie, hôpital Broussais, Paris.
Arch Mal Coeur Vaiss. 1998 Feb;91(2):263-6.
The authors report the case of a 49 year old man referred for a preoperative evaluation of a left atrial myxoma. During the hospital admission, the patient had an episode of sudden anginal chest pain associated with electrocardiographic changes of anteroseptoapical myocardial infarction. Emergency coronary angiography showed occlusion of the middle segment of the left anterior descending artery whereas it had been absolutely normal on the coronary angiogramme performed a few days beforehand. The diagnosis of coronary embolism from the left atrial myxoma was made and an emergency coronary angioplasty was performed followed by surgical ablation of the tumour.
作者报告了一例49岁男性患者，因左心房黏液瘤接受术前评估。住院期间，患者突发心绞痛伴前间隔心尖部心肌梗死的心电图改变。急诊冠状动脉造影显示左前降支中段闭塞，而几天前进行的冠状动脉造影显示该血管完全正常。诊断为左心房黏液瘤导致的冠状动脉栓塞，并进行了急诊冠状动脉血管成形术，随后手术切除肿瘤。
