The Korean Journal of Medicine

  • 제86권6호
  • /
  • Pages.744-748
  • /
  • 2014
  • /
  • 1738-9364(pISSN)
  • /
  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
권호 표지
DOI QR코드

DOI QR Code

심장 점액종과 동반된 다발성 방추형 뇌 동맥류 및 관상동맥류 증례보고

Multiple Cerebral Fusiform Aneurysms and Coronary Aneurysm in a Patient with Cardiac Myxoma

  • 최기홍 (성균관대학교 의과대학 삼성서울병원 내과) ;
  • 장성아 (성균관대학교 의과대학 삼성서울병원 내과) ;
  • 김지훈 (성균관대학교 의과대학 삼성서울병원 내과) ;
  • 이지영 (성균관대학교 의과대학 삼성서울병원 내과) ;
  • 이지윤 (성균관대학교 의과대학 삼성서울병원 내과) ;
  • 임성희 (성균관대학교 의과대학 삼성서울병원 내과) ;
  • 김덕경 (성균관대학교 의과대학 삼성서울병원 내과)
  • Choi, Ki Hong (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Chang, Sung-A (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Jihoon (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lee, Ji Young (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lee, Ji Yun (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lim, Sung Hee (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Duk Kyung (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 투고 : 2013.03.05
  • 심사 : 2013.08.05
  • 발행 : 2014.06.01
⟨ 이전 논문 다음 논문 ⟩

초록

저자들은 우연히 발견된 심장 점액종 환자에서 증상 없이 뇌동맥류 및 관상동맥류, 무증상 심근경색을 동시에 진단하고 심장 내 종양 제거술을 시행하였다. 이에 문헌고찰과 함께 보고하는 바이다.

Cardiac myxoma is the most common primary tumor of the heart and development of a cerebral aneurysm is rare in cardiac myxoma patients. We present the case of a 57-year-old asymptomatic male with multiple aneurysms in the cerebral and coronary arteries complicated by cardiac myxoma. Multiple cerebral aneurysms were fusiform shaped and located in the right middle cerebral artery, right anterior cerebral artery, right anterior choroidal artery, and left anterior cerebral artery. A coronary artery aneurysm was also located in the distal left circumflex artery with subendocardial myocardial infarction seen by cardiac magnetic resonance imaging (MRI). The cardiac myxoma was surgically removed and 1 month after surgical resection, there was no progression of the aneurysms on follow-up brain MRI.

키워드

참고문헌

  1. George KJ, Rennie A, Saxena A. Multiple cerebral aneurysms secondary to cardiac myxoma. Br J Neurosurg 2012;26:409-411. https://doi.org/10.3109/02688697.2011.626877
  2. Yoon HD, Shon HS. A typical Korean case of Carney complex. Korean J Intern Med 2003;18:260-265. https://doi.org/10.3904/kjim.2003.18.4.260
  3. Lee VH, Connolly HM, Brown RD Jr. Central nervous system manifestations of cardiac myxoma. Arch Neurol 2007;64:1115-1120. https://doi.org/10.1001/archneur.64.8.1115
  4. Farah MG. Atrial myxoma with coronary aneurysmal dilatation. Am J Cardiol 1981;48:809-810.
  5. Kim H, Park EA, Lee W, Chung JW, Park JH. Multiple cerebral and coronary aneurysms in a patient with left atrial myxoma. Int J Cardiovasc Imaging 2012;28(Suppl 2):129-132. https://doi.org/10.1007/s10554-012-0140-3
  6. Pinede L, Duhaut P, Loire R. Clinical presentation of left atrial cardiac myxoma: a series of 112 consecutive cases. Medicine (Baltimore) 2001;80:159-172. https://doi.org/10.1097/00005792-200105000-00002
  7. Sabolek M, Bachus-Banaschak K, Bachus R, Arnold G, Storch A. Multiple cerebral aneurysms as delayed complication of left cardiac myxoma: a case report and review. Acta Neurol Scand 2005;111:345-350. https://doi.org/10.1111/j.1600-0404.2005.00413.x
  8. Cho YN, Lee KY. Concurrent events of embolic cerebral infarction and cerebral aneurysm with hemorrhage in a patient with cardiac myxoma. J Korean Neurol Assoc 2012;30:358-360.
  9. Koo YH, Kim TG, Kim OJ, Oh SH. Multiple fusiform cerebral aneurysms and highly elevated serum interleukin-6 in cardiac myxoma. J Korean Neurosurg Soc 2009;45:394-396. https://doi.org/10.3340/jkns.2009.45.6.394
  10. Balk AH, Wagenaar SS, Bruschke AV. Bilateral cardiac myxomas and peripheral myxomas in a patient with recent myocardial infarction. Am J Cardiol 1979;44:767-770. https://doi.org/10.1016/0002-9149(79)90300-X