【摘要】 <正> 心脏粘液瘤是最常见的原发性、良性心脏肿瘤,四个心腔均可发生,但见于心房者占95%以上。发生于心室者,尤以右心室者极为罕见。M 型和二维超声心动图问世后,对心脏肿瘤诊断有了极大的改观,目前已公认为这一无创性的检查是心脏粘液瘤可靠的诊断方法。右室粘液瘤国内报道三例,1982年 Bactolotti 复习文献,收集世界文献中右室粘液瘤病例34例,更多还原

【Abstract】 A case of male patient with giant right ventrieular myxoma is reported.Theutimate diagnosis was established by means of echoeardio graphy and was successfully excised through a right ventriculotomy.A Iarge myxomatous mass filledalmost the whole right ventricle It was eveacuated by invaginating thefree walt of the right ventricle with external compression and was removed pieceby piece together with the short broad pedicle which was firmly seated on theanterior leaflet of the tricuspid valve and its chordae tendineae and papillary mu-scles.Postoperative period was uncomplicated.The patient was discharged in a goodcondition.The tumor excised was confirmed by electron microscopic study.Recently,a number of intraeardiae myxomas were reported in literature bothin our country and in foreign countries.It is realized that most of the intracar-diae myxomas excised weighed within 100gm,up to 1982 only one ease was 136.5gm in Peijing Fuwai Hospital.In our ease,the myxoma of right ventricle was174gin and was extremely rare.更多还原