由腹腔大动脉栓塞复杂的左心房肌瘤:一个病例报告
The-May Nguyen1, Minh-Son Le2, Doan Quoc Hung3
1Department of Surgery, Viet Tiep Friendship Hospital, Hai Phong City, Viet Nam.
International journal of surgery case reports
|December 3, 2025
概括
一个罕见的由左心房肌瘤引起的腹腔大动脉栓塞病例突出了诊断挑战. 及时诊断和手术干预对于这种危及生命的疾病的生存至关重要.
科学领域:
- 心血管外科心血管外科
- 血管外科 血管外科
- 心脏病学 心脏病学
背景情况:
- 腹腔大动脉栓塞是一种不常见的血管事件.
- 由心脏瘤引起的栓塞,特别是左心房肌瘤,是非常罕见的.
- 恶性病变是主动脉动脉瘤和闭塞的更频繁报告的原因.
研究的目的:
- 为了呈现出一种罕见的,源于左心房髓瘤的腹腔腹腔大动脉栓塞的罕见病例.
- 为了强调非典型的大动脉封闭的诊断挑战.
- 为了强调心脏成像在栓塞事件中的重要性.
主要方法:
- 一名37岁的男性出现了急性双边下肢症状.
- 图像检测显示,腹部甲状腺下膜和常见门动脉封闭.
- 手术探索和组织病理学证实了瘤;心声监测监测了残留的茎.
主要成果:
- 手术切除凝质 (myxoma) 已经成功.
- 在四年的随访期间,患者康复良好,没有复发迹象.
- 一个小的剩余的左心房茎在连续心声回声图上显示没有生长.
结论:
- 耳前肌瘤可能导致罕见但危及生命的腹腔大动脉栓塞.
- 图像扫描血管造影和心声造影对于及时诊断至关重要.
- 由于复发风险,及时的手术管理和长期随访至关重要.
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