Analysis of Delayed Diagnosis and Treatment of Cardiac Myxoma
YANG Fang
LI Jun
CAO Feng-sheng
CHEN Dan
LI Zuo-gui
Abstract：Objective To explore the clinical features of cardiac myxoma(CM) and reasons for misdiagnosis.Methods A retrospective analysis of one patient with CM was performed.Results This patient was admitted to the hospital for sudden right limb hemiplegia accompanied by alalia.She was hospitalized 1 month before for cerebral infarction.Based on nature of multiple stroke at different places and time and results of medical examinations,she was preliminarily diagnosed as having multiple sclerosis (MS),and discharged with a better health condition after treatment.In the second year,the patient was rehospitalized with sudden dizziness and right limb weakness accompanied by aphasis.Color doppler echocardiography revealed a mass with 40mm × 30mm in size attached to the atrial septum in the left atrium and pulsating with the heart.She was diagnosed as having CM,which was then surgically removed.During follow-up for over 10 years,she reported no dizziness or right limb hemiplegia,but right hemiplegia and incomplete mixed aphasia.Conclusion The clinical manifestations of CM are complex,therefore,improved understanding and early medical examinations can assist to avoid or reduce CM misdiagnosis.
Keywords：Cardiac myxomaBrain infarctionMisdiagnosisMultiple sclerosis
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 4-6 )