[Giant Left Atrial Myxoma Complicated with Hemorrhagic Cerebral Infarction].
Kyobu Geka
; 73(11): 905-909, 2020 Oct.
Article
em Ja
| MEDLINE
| ID: mdl-33130711
ABSTRACT
A 48-year-old woman developed paralysis of the left upper limb and dysarthria. Two days later, she was admitted to a local hospital due to no improvement of symptoms. Brain magnetic resonance imaging showed acute hemorrhagic cerebral infarction in the left nucleus basalis. Echocardiography demonstrated a large left atrial mass in the left atrium, shuttling between the left atrium and the left ventricle and moderate mitral regurgitation. Then, she was transferred to our hospital for surgery. Five days after the initial symptoms, resection of the left atrial mass was performed under total cardiopulmonary bypass. First, heparin sodium, and then nafamostat mesilate were used as intraoperative anticoagulation treatment. The left mitral mass was removed via an atrial septal incision and the defect was repaired using a bovine pericardium. The mitral valve was intact and there was no regurgitation. The mass was immunohistologically diagnosed as myxoma. Postoperative brain computed tomography scans demonstrated no exacerbation of the cerebral infarction. She was discharged 13 days after surgery without neurological symptoms.
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Coleções:
01-internacional
Temas:
Geral
/
Tipos_de_cancer
/
Outros_tipos
Base de dados:
MEDLINE
Assunto principal:
Fibrilação Atrial
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Neoplasias Cardíacas
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Insuficiência da Valva Mitral
/
Mixoma
Tipo de estudo:
Etiology_studies
Limite:
Animals
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Female
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Humans
/
Middle aged
Idioma:
Ja
Revista:
Kyobu Geka
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Japão