tailieunhanh - Báo cáo y học: "Successful surgical resection of infected left atrial myxoma in a case complicated with disseminated intravascular coagulation and multiple cerebral infarctions: case report"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Successful surgical resection of infected left atrial myxoma in a case complicated with disseminated intravascular coagulation and multiple cerebral infarctions: case report. | Yoshioka et al. Journal of Cardiothoracic Surgery 2011 6 68 http content 6 1 68 JCTS JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access Successful surgical resection of infected left atrial myxoma in a case complicated with disseminated intravascular coagulation and multiple cerebral infarctions case report Daisuke Yoshioka Toshiki Takahashi Toru Ishizaka and Takuya Higuchi Abstract Cardiac myxoma is the most common primary cardiac tumour but infected cardiac myxoma is relatively rare. Infected cardiac myxoma is very fragile and has a potential to lead to catastrophic disorder with systemic bacteremia systemic mycotic embolism and disseminated intravascular coagulation DIC . We present here the successful surgical treatment of a case of infected left atrial myxoma with septic shock DIC and cerebral infarction without hemorrahage. Collective review of 58 reported cases with infected cardiac myxoma revealed that surgical treatment for it were still challenging and its result was poor. Until date only one successful surgical treatment for a case complicated by DIC and cerebral infarctions has been reported and our report describes second such case of successful resection. Even though this report is limited to a case only aggressive and prompt surgical intervention could relieve the intractable conditions in such a patient with extremely high risk. Background Cardiac myxoma is the most common primary cardiac tumour but infected cardiac myxoma is relatively rare. To the best of our knowledge 57 previous cases of infected cardiac myxoma have been reported in the English literature 1-6 . Infected cardiac myxoma almost always causes systemic bacteremia which easily leads to septic shock disseminated intravascular coagulation DIC multiple organ failure. Infected cardiac myxoma is also very fragile and often occurs with systemic embolism including a cerebral infarction and hence surgical resection of the tumor is mandatory for the relief