Atrial Tachycardia Revealing Obstructive Left Atrial Myxoma. Case Report

Hanane Zouzou
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Abstract

Myxomas are the most common primary cardiac tumors; the most common localization is the left atrium, and may cause mitral flow obstruction so their clinical presentation could mimic severe mitral stenosis; trans thoracic echocardiography allows the diagnosis; we report a case of left atrial myxoma revealed by atrial tachycardia concomitant with dyspnea and signs of chronic right heart failure; despite surgical resection of the tumor, our patient had developed tachycardiomyopathy with severe left ventricular dysfunction,  which recovered two months later, after intensive administration of antiarrhythmic treatment.
揭示阻塞性左心房肌瘤的房性心动过速。病例报告
肌瘤是最常见的原发性心脏肿瘤;最常见的位置是左心房,可能会导致二尖瓣血流受阻,因此其临床表现可能与严重的二尖瓣狭窄相似;经胸超声心动图可对其进行诊断;我们报告了一例左心房肌瘤患者,其表现为心房性心动过速,同时伴有呼吸困难和慢性右心衰竭的体征;尽管手术切除了肿瘤,但患者仍出现了心动过速和严重的左心室功能障碍,经过强化的抗心律失常治疗,患者在两个月后恢复了健康。
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