Dynamic Multidetector CT Findings of Left Atrial Myxomas Causing Mitral Valve Obstruction

승모판 폐쇄를 일으킨 좌심방 점액종의 역동적 다절편 CT 소견

  • Yang, Ji-Yeon (Department of Radiology, Soonchunhyang University College of Medicine) ;
  • Kim, Dong-Hun (Department of Radiology, Chosun University School of Medicine) ;
  • Seo, Hye-Sun (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Her, Keun (Department of Cardiovascular Surgery, Soonchunhyang University College of Medicine) ;
  • Kim, Hee-Kyung (Department of Pathology, Soonchunhyang University, College of Medicine)
  • 양지연 (순천향대학교 의과대학 영상의학과학교실) ;
  • 김동훈 (조선대학교 의학전문대학원 영상의학과학교실) ;
  • 서혜선 (순천향대학교 의과대학 내과학교실) ;
  • 허균 (순천향대학교 의과대학 흉부외과학교실) ;
  • 김희경 (순천향대학교 의과대학 병리과학교실)
  • Published : 2011.07.01

Abstract

We report multidetector row CT (MDCT) findings of two left atrial myxomas causing mitral valve obstruction and dyspnea of patients. Cardiac MDCT showed well-defined left atrial masses attached to the interatrial septum and shifting of tumors into the left ventricle causing mitral valve obstruction during diastole in a 37-year-old male and in a 69-year-old female. Also, we observed intratumoral hemorrhage in the second case. Myxomas were resected and the patients were discharged without dyspnea.

저자들은 승모판 폐쇄증과 호흡곤란을 유발한 좌심방 점액종 2예의 다절편 CT 영상을 보고하고자 한다. 37세 남자와 69세 여자 환자에서 심장 다절편 CT로 심방중격에 연결된 경계가 좋으며 이완기에 좌심실로 돌출되어 승모판 협착을 일으키는 종괴를 볼 수 있었다. 또한, 점액종 1예에서 종괴 내 출혈을 볼 수 있었다. 점액종은 제거되었고 환자들은 모두 호흡곤란증세가 사라진 후 퇴원하였다.

Keywords

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