Atrial Myxoma with a Dual Coronary Artery Supply  

作　　者：Massar Omar Jesper Eske Sindby Asta Blaskauskaite Tomas Zaremba Svend Eggert Jensen 

机构地区：[1]Department of Cardiology, Aalborg University Hospital, Aalborg, Denmark [2]Department of Thoracic Surgery, Aalborg University Hospital, Aalborg, Denmark [3]Department of Cardiology, Hjorring Hospital, Hjorring, Denmark [4]Department of Clinical Medicine, Aalborg University, Aalborg, Denmark

出　　处：《International Journal of Clinical Medicine》2017年第6期368-374,共7页临床医学国际期刊（英文）

摘　　要：Primary cardiac tumours are rare, with myxoma being the most common benign heart tumour. The prevalence of coronary disease or neovascular in patients with atrial myxomas is high, yet angiography is not routinely performed. Echocardiography is preferred for evaluation of myxoma, where coronary angiography clarifies the vascular supply of the tumour and may alter the surgical planning. We here report an interesting and rare case of a left atrial myxoma hyper vascularised by two anomalous arteries, from right coronary artery and circumflex artery demonstrated by preoperative coronary angiography. The mass was successfully excised and the diagnosis of cardiac myxoma was confirmed via histopathology. A review of the value of coronary angiography in detecting myxoma neovascularization is provided. Offering additional valuable information, coronary angiography can alter the surgical approach and may therefore be considered prior to myxoma resection.Primary cardiac tumours are rare, with myxoma being the most common benign heart tumour. The prevalence of coronary disease or neovascular in patients with atrial myxomas is high, yet angiography is not routinely performed. Echocardiography is preferred for evaluation of myxoma, where coronary angiography clarifies the vascular supply of the tumour and may alter the surgical planning. We here report an interesting and rare case of a left atrial myxoma hyper vascularised by two anomalous arteries, from right coronary artery and circumflex artery demonstrated by preoperative coronary angiography. The mass was successfully excised and the diagnosis of cardiac myxoma was confirmed via histopathology. A review of the value of coronary angiography in detecting myxoma neovascularization is provided. Offering additional valuable information, coronary angiography can alter the surgical approach and may therefore be considered prior to myxoma resection.

关 键 词：ATRIAL MYXOMA Cardiac TUMOUR CORONARY Angiography Stroke Echocardiography EMBOLISM CORONARY VASCULARISATION Case Report 

分 类 号：R5[医药卫生—内科学]