Journal of Chest Surgery

  • 제46권1호
  • /
  • Pages.63-67
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  • 2013
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  • 2765-1606(pISSN)
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  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
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Successful Surgical Treatment of a Right Atrial Myxoma Complicated by Pulmonary Embolism

  • Jung, Joonho (Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine) ;
  • Hong, You Sun (Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine) ;
  • Lee, Cheol Joo (Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine) ;
  • Lim, Sang-Hyun (Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine) ;
  • Choi, Ho (Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine) ;
  • Lee, Sungsoo (Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine)
  • 투고 : 2012.06.28
  • 심사 : 2012.09.20
  • 발행 : 2013.02.05
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초록

A 76-year-old woman with hypertension was admitted to the hospital with complaints of chest pain and dyspnea. An echocardiogram and pulmonary computed tomography angiography showed right atrial myxoma complicated with pulmonary thromboembolism. An operation to resect the right atrial myxoma and pulmonary embolism was recommended; however, the patient refused and was discharged with anticoagulation therapy. Two years later, she developed dyspnea. Radiological studies and echocardiography showed similar results with the previous findings. The patient underwent mediastinotomy with resection of the right atrial myxoma and pulmonary embolectomy. As there are few reports on right atrial myxoma complicated with pulmonary embolism, we report a successful case of surgical removal of right atrial myxoma and pulmonary embolism.

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참고문헌

  1. Chitwood WR Jr. Clarence Crafoord and the first successful resection of a cardiac myxoma. Ann Thorac Surg 1992;54: 997-8. https://doi.org/10.1016/0003-4975(92)90676-U
  2. Hermans K, Jaarsma W, Plokker HW, Cramer MJ, Morshuis WJ. Four cardiac myxomas diagnosed three times in one patient. Eur J Echocardiogr 2003;4:336-8. https://doi.org/10.1016/S1525-2167(03)00018-0
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  6. Shimizu M, Okuri H, Yokoyama K, Kawada H, Takizawa T, Kikawada R. A case of right atrial myxoma: effect of large myxoma in the right atrium studied by M-mode and Doppler echocardiography. Jpn Circ J 1995;59:579-86. https://doi.org/10.1253/jcj.59.579
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피인용 문헌

  1. An Unusual Biatrial Cardiac Myxoma in a Young Patient vol.48, pp.1, 2013, https://doi.org/10.5090/kjtcs.2015.48.1.67
  2. Prognostic prediction of troponins in cardiac myxoma: case study with literature review vol.30, pp.2, 2013, https://doi.org/10.5935/1678-9741.20140087
  3. Giant Left Atrial Myxoma Masquerading as Cough-Syncope Syndrome vol.5, pp.3, 2013, https://doi.org/10.1177/2324709617724177
  4. Pulmonary embolism as the initial manifestation of right atrial myxoma : A case report and review of the literature vol.98, pp.51, 2013, https://doi.org/10.1097/md.0000000000018386