Symptoms of left atrial myxoma

summary

In June of this year, I witnessed how a dying patient was saved by the hospital doctors on the verge of death. The patient suffered from a massive cerebral infarction, and his life was in danger. Later, he was diagnosed as suffering from cardiac myxoma. The disease requires prompt surgery and Kwai's pain. The doctor immediately performed operations on the patient. Fortunately, the operation was in time and the patient was finally cured. During the whole process of treatment, I accompanied the doctor to observe and learn. Let me tell you about the surgical treatment of this disease.

Symptoms of left atrial myxoma

First: when a patient comes to the hospital, the first thing the doctor should do is to make a differential diagnosis. According to the detailed information of the patient's morbidity, physical signs, family history and so on, plus the examination items prescribed by the doctor, the final diagnosis of cardiac myxoma is made.

Second: immediate surgery, surgical methods: left atrial myxoma resection, mostly through the median incision, in the cardiopulmonary bypass incision of the right atrium to complete. As shown in Fig. 1, 2, 3 and 4. A 1-2cm longitudinal incision was made at the midpoint of the fossa ovale from the right atrium to check the attachment of the tumor pedicle. Then the tumor pedicle was removed 5mm around the tumor pedicle. The tumor was slowly removed and the atrial septal defect was repaired with polyester cloth.

Third: once the diagnosis of cardiac myxoma is confirmed, surgical treatment must be carried out immediately. The next step is to give the family members and patients a detailed description of the precautions and various urgent preparations before the operation. Then sign on the operation instructions, fully understand the operation risk and decide the operation, then sign on the operation consent.

matters needing attention

1-3% of patients with cardiac myxoma will relapse or recur after surgery. The time of recurrence or recur can occur in 6 months to 11 years after surgery, generally 30 months. 30-75% of patients with recurrence or recurrence have family history. Therefore, patients must be followed up regularly after operation in order to find recurrence or recurrence in time.