Infected Left Atrial Myxoma

감염된 좌심방 점액종

  • Kim, Hyuck (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University) ;
  • Kang, Jeong-Ho (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University) ;
  • Chung, Yoon-Sang (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University) ;
  • Kim, Young-Hak (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University) ;
  • Chung, Won-Sang (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University)
  • 김혁 (한양대학교 의과대학 서울병원 흉부외과학교실) ;
  • 강정호 (한양대학교 의과대학 서울병원 흉부외과학교실) ;
  • 정윤상 (한양대학교 의과대학 서울병원 흉부외과학교실) ;
  • 김영학 (한양대학교 의과대학 서울병원 흉부외과학교실) ;
  • 정원상 (한양대학교 의과대학 서울병원 흉부외과학교실)
  • Published : 2009.08.05

Abstract

Myxoma is the most common primary tumor of the heart. The common symptoms of myxoma can be similar to those of infective endocarditis, which include fever, weight loss, fatigue and arthralgia, but it is very rare for a myxoma to become infected. We report on a case of a 76-year-old male patient with fever and loss of conscious-ness, and he underwent an emergency operation after suffering shock state due to the infected myxoma.

심장점액종은 심장에 나타날 수 있는 가장 흔한 원발성 종양이다. 주된 증상으로 고열, 체중감소, 피로, 권태감, 관절통 등을 호소할 수 있어 감염성 심내막염의 증상과 비슷하지만 감염되는 경우는 극히 드물다. 본원에서는 76세 남자환자가 고열 및 일시적인 의식소실을 주소로 응급실로 내원하였으며 좌심방 점액종의 진단하에 저혈압성 쇼크에 빠져 응급으로 수술을 시행한 감염된 좌심방 점액종을 보고 하고자 한다.

Keywords

References

  1. Riad MG, Parks JD, Murphy PB, et al. Infected atrial myxoma presenting with septic shock. J Cardiothorac Vasc Anesth 2005;19:508-511 https://doi.org/10.1053/j.jvca.2005.05.010
  2. Whitman MS, Rovito MA, Klions D, Tunkel AR. Infected atrial myxoma: case report and review. Clin Infect Dis 1994;18:657-658 https://doi.org/10.1093/clinids/18.4.657
  3. Uchino K, Mochida Y, Ebina T, et al. Infected left atrial myxoma. Intern Med 2002;41:957-960 https://doi.org/10.2169/internalmedicine.41.957
  4. Garcia-Quintana A, Martin-Lorenzo P, Suarez de Lezo J, et al. Infected left atrial myxoma. Rev Esp Cardiol 2005;58: 1358-1360 https://doi.org/10.1016/S1885-5857(06)60425-8
  5. Joseph P, Himmelstein DU, Mahowald JM, et al. Atrial myxoma infected with candida: first survival. Chest 1980;78: 340-343 https://doi.org/10.1378/chest.78.2.340
  6. Rajpal RS, Leibsohn JA, Liekweg WG, et al. Infected left atrial myxoma with bacteremia simulating infective endocarditis. Arch Intern Med 1979;139:1176-1178 https://doi.org/10.1001/archinte.139.10.1176
  7. Revankar SG, Clark RA. Infected cardiac myxoma: case report and literature review. Medicine 1998;77:337-344 https://doi.org/10.1097/00005792-199809000-00003
  8. Dekkers P, Elbers HRJ, Morshuis WJ, et al. Infected left atrial myxoma. J Am Soc Echocardiogr 2001;14:644-645 https://doi.org/10.1067/mje.2001.111476