PDF(Pubmed)
Abstract：
An increasing number of cases of cerebral embolism caused by cardiac myxoma have been reported. However, cerebral infarction caused by different types of emboli obstructing different vascular regions within a short period of time has not been reported. This is the first report to histologically confirm cerebral infarctions independently caused by thrombus and myxomatous embolus in a patient with cardiac myxoma within a period of 23 days. The first cerebral infarction was due to embolization of thrombus to the right middle cerebral artery, whereas the second was due to embolization of tissue from a mucinous tumor to the left middle cerebral artery. Both cerebral infarctions underwent mechanical thrombectomy, but unfortunately, we ultimately failed to save the patient\'s life. Therefore, further attention should be paid to the surgical resection and treatment of cardiac myxoma.
摘要：
据报道，心脏粘液瘤引起的脑栓塞病例越来越多。然而,由不同类型的栓子在短时间内阻塞不同血管区域引起的脑梗死尚未见报道。这是第一份在组织学上证实23天内心脏粘液瘤患者的血栓和粘液瘤栓子独立引起的脑梗死的报告。首次脑梗死是由于右大脑中动脉血栓栓塞，而第二种是由于从粘液性肿瘤到左大脑中动脉的组织栓塞。两种脑梗塞都接受了机械血栓切除术，但不幸的是,我们最终没能挽救病人的生命。因此,应进一步重视心脏粘液瘤的手术切除和治疗。
