大型双心肌瘤的微妙症状:一个案例研究和手术见解
Azka Naeem1, Emmanuel U Emeasoba2, Muhammad Hashim Khan3
1Department of Internal Medicine, Maimonides Medical Center, Brooklyn, NY, USA.
The American journal of case reports
|April 10, 2025
概括
大规模的双心肌瘤,虽然很少见,但可能会出现最小的症状,需要与恶性瘤区分开来. 在这种不寻常的情况下,手术切除导致症状改善和心脏功能正常化.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
背景情况:
- 与转移性瘤相比,初级心脏瘤很罕见.
- 双心质量很少是良性的,需要与恶性瘤区分开来.
- 双心肌瘤是罕见的,与典型的单边呈现不同,可以与卡尼综合体有关.
研究的目的:
- 为了突出巨大的双心肌瘤的不寻常呈现,症状最小.
- 强调在运动性呼吸不良和高风险心房质的差异诊断中考虑myxomas的重要性.
主要方法:
- 计算机断层扫描肺血管造影和胸前心脏回声图用于诊断.
- 进行了开放式手术活检以确认诊断.
- 进行了广泛的外科切除和心房间隔膜修复.
主要成果:
- 确定了巨大的双心质量 (右:8.8×6.8厘米,左:5.6×5.2厘米) 与低左心室喷射率 (LVEF).
- 这种质量被证实为心房肌瘤,在活检后.
- 患者经历了症状改善,心房大小减少,手术后LVEF正常化.
结论:
- 瘤可以是双心的,生长显著,并引起最小的症状.
- 在高风险心房质中必须排除恶性瘤,但肌瘤是运动性呼吸障碍的关键差异诊断.
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