Journal of Chest Surgery

  • 제40권12호
  • /
  • Pages.863-866
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  • 2007
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  • 2765-1606(pISSN)
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  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
권호 표지

관상동맥 좌회선지에서 기원하는 영양혈관을 갖는 좌심방 점액종 - 1예 보고 -

Left Atrial Myxoma with a Feeding Artery from the Left Circumflex Coronary Artery? - A case report -

  • 김윤석 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 제형곤 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 정재승 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 이재원 (울산대학교 의과대학 서울아산병원 흉부외과학교실)
  • Kim, Yun-Seok (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Je, Hyoung-Gon (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Jung, Jae-Seung (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Jae-Won (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • 발행 : 2007.12.05
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초록

실신을 주소로 내원한 64세 여자 환자에서 심 초음파상 좌심방 내에 $4.2{\times}2.4\;cm$의 다혈관성 종괴가 발견되었으며, 좌심방 혈관종 혹은 점액종을 의심하여 종양 절제술을 계획하였다. 술 전 시행한 관상동맥 조영술상 좌회선지에서 기시하여 종양으로 분포하는 내경 2 mm의 영양혈관이 발견되었다. 이에 종양 절제술을 시행함과 동시에 좌회선지에서 기시하는 영양혈관을 심외막에서 지혈클립으로 이중 결찰하여 좋은 결과를 얻었다.

A 64 year-old woman presented to out hospital because of syncope. Transesophageal echocardiography showed a $4.2{\times}2.4\;cm$ hypervascular mass in the left atrium. We assessed the mass to be a myxoma and we planned to excise the mass. The preoperative coronary angiography showed a feeding artery with an inner diameter of 2mm originating from the left circumflex coronary artery, so we excised the mass and clipped the feeding artery with two clips at the epicardium with a good result.

키워드

참고문헌

  1. Michael JR. Cardiac neoplasms. In: Cohn LH, Edmund LH, Jr. Cardiac surgery in the adult. 2nd ed. McGraw-Hill. 2003;1375-84
  2. Hobbs WJC, Kumar S, Roberts DH, et al. Late presentation of an iatrogenic circumflex to left atrial fistula closed with a covered stent. J Interv Cardiol 2004; 17:179-81 https://doi.org/10.1111/j.1540-8183.2004.09882.x
  3. Burns AC, Osula S, Harley A, et al. Left circumflex coronary artery to left atrial fistula in a patient with mitral regurgitation after excision of a left atrial myxoma. Ann Thorac Surg 2001;72:1732-3 https://doi.org/10.1016/S0003-4975(01)02613-3
  4. D'Avila AL, Passos LC, Hueb WA, et al. Coronary-cavitary fistula after resection of vascularized left atrial myxoma. Arq Bras Cardiol 1991;57:487-8
  5. Roth JE, Conner WC, Porisch ME, et al. Sinoatrial nodal artery to right atrium fistula after myxoma excision. Ann Thorac Surg 2006;82:1106-7 https://doi.org/10.1016/j.athoracsur.2006.01.067
  6. Klaus R, Ulrich K, Mohammad T, et al. Neovascularization in left atrial myxoma. Z Kardiol 2004;93:69-71 https://doi.org/10.1007/s00392-004-1010-3