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Left Atrial Myxoma - A Tumor in Transit

机译:左房粘液瘤-转移性肿瘤

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摘要

Cardiac myxoma is the most common type of primary cardiac neoplasm. Over 70% of all cardiac myxomas originate from the left atrium (LA) and 18% from the right atrium (RA). Most myxomas present with constitutional, embolic, and obstructive manifestations. We are presenting a case where a part of myxoma got embolized intra-operatively. Using trans-oesophageal echocardiography, we were able to diagnose and image the transit of the tumor from the left ventricle to the left atrium. We removed the embolized tumor from the left atrium and prevented a dreaded complication like stroke, mesenteric ischemia, renal infarct or limb ischemia, which would have resulted in increased morbidity or mortality of the patient.
机译:心脏粘液瘤是最常见的原发性心脏肿瘤类型。所有心脏粘液瘤中超过70%来自左心房(LA),而18%来自右心房(RA)。大多数粘液瘤表现为体质,栓塞和阻塞性表现。我们正在介绍一个粘液瘤的一部分在术中栓塞的情况。使用经食道超声心动图,我们能够诊断并成像肿瘤从左心室到左心房的转移。我们从左心房切除了栓塞的肿瘤,并防止了可怕的并发症,如中风,肠系膜缺血,肾梗塞或肢体缺血,这会增加患者的发病率或死亡率。

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