Tondi S, Cappelli C, Tosoni G D, Zennaro G R
Sezione di Cardiologia, Ospedale Civile Sant'Agostino, Modena.
G Ital Cardiol. 1998 Aug;28(8):909-12.
Left atrial myxoma is usually diagnosed in patients between the ages of 30 and 60 and this diagnosis follows non-specific symptoms (i.e. temperature, anemia, weakness), and obstructive or embolic episodes. There are few cases in the literature of this disease in patients older than 80. We report the case of an 80-year-old female admitted to our institute for an episode of supraventricular tachycardia. After successful treatment of the arrhythmia using verapamil i.v., a routine echocardiographic examination showed the presence of a left atrial mass, and its appearance suggested the diagnosis of a left atrial myxoma. A CT scan and a transesophageal echocardiography confirmed the diagnosis. The patient subsequently underwent cardiac catheterization and coronary angiography. In the absence of significant lesions of the coronary artery, a decision was made to remove the myxoma surgically, based on two considerations: the good clinical status of the patient and the high current risk of peripheral embolization. The operation was successful in removing the myxoma and the patient continues to be in good clinical condition.
左心房黏液瘤通常在30至60岁的患者中被诊断出来，其诊断依据是非特异性症状（如发热、贫血、虚弱）以及梗阻或栓塞发作。文献中80岁以上患者患此病的病例很少。我们报告一例80岁女性因室上性心动过速发作入住我院。静脉注射维拉帕米成功治疗心律失常后，常规超声心动图检查显示左心房有肿块，其表现提示诊断为左心房黏液瘤。CT扫描和经食管超声心动图证实了诊断。患者随后接受了心导管检查和冠状动脉造影。由于冠状动脉无明显病变，基于两个考虑因素决定手术切除黏液瘤：患者良好的临床状态以及当前外周栓塞的高风险。手术成功切除了黏液瘤，患者目前临床状况良好。
