左房内粘液腫の再発診断及び外科治験

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タイトル別名
  • Recurrence of the left atrial Myxoma and its surgical treatment
  • サボウナイ ネンエキシュ ノ サイハツ シンダン オヨビ ゲカ チケン

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抄録

Among 6 cases of our surgically resected artial myxoma, a case of recurrence of left atrial myxoma in a 39 year-old female patient was presented. The case was detected by follow-up at the out-patient clinic using an echocardiogram. The recurrence was revealed 9 years after the primary surgery, and the surgical resection of the recurrent tumor was successful. The left ventriculogram revealed mitral insufficiency, which may be attributed to generalized fibrous thickness of the mitral valve due to chronic friction with a large tumor mass. Our clinical experience shows that the echocardiogram is a most useful detection technique for preoperative diagnosis and postoperative follow-up studies. The importance of resecting a portion of the septal wall where the stem of the myxoma is attached in preventing recurrence was stressed.

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