tailieunhanh - Báo cáo y học: "Carney-Complex: Multiple resections of recurrent cardiac myxoma"

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: Carney-Complex: Multiple resections of recurrent cardiac myxoma. | Bireta et al. Journal of Cardiothoracic Surgery 2011 6 12 http content 6 1 12 JCTS JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access Carney-Complex Multiple resections of recurrent cardiac myxoma 1 12 3 4 1 1 Christian Bireta Aron F Popov Hanna Schotola Brian Trethowan Martin Friedrich Mohamed El-Mehsen Friedrich A Schoendube1 Theodor Tirilomis1 Abstract We report a case of a female patient who was operated at the third relapse of an atrial myxoma caused by Carney complex. The difficult operation was performed without any complications despite extensive adhesions caused by the previous operations. The further inpatient course went without complications and the patient was discharged to the consecutive treatment on the 9th postoperative day. The echocardiographic finding postoperative showed no abnormalities. Case report In 1998 a 45 year old female patient presented with complete left sided hemiparesis after a cerebral embolism. While focusing on the reason for this clinical presentation a large mass lesion was found in the atrium via echocardiography whereby suspicion of atrial myxoma was raised. The patient was referred to our department and operative resection of the large myxoma was performed which was predominant prolapsed into the left ventricle at the distal roof of the left atrium above the mitral valve. Both intraoperative and inpatient course progressed without complications and the patient was rapidly discharge for early neurological rehabilitation. Three years later a left atrial tumor was seen in a routine cardiological echocardiography follow up and the suspicion of a relapse of the atrial myxoma was raised. A resection of the two-hazelnut-sized myxoma at the posterior wall of the left atrium was performed again. The operation and inpatient course again proceeded without complications and the patient was rapidly discharged again. After a period of four years an echopenic structure with freely moving component .