Azman ATEŞ, Bilgehan ERKUT, İbrahim YEKELER

İskemik strok ve sol atrial mixoma

Baş ağrısı, nefes darlığı ve çarpıntı şikayetleriyle başvuran 15 yaşındaki bayan hastanın muayenesinde sağ spastik hemiparezi, sol gözde amoroz, mitral odakta 2/6 şiddetinde sistolik sufl, ekokardiografide sol atriumda, diastolde sol ventrikül içine prolabe olan ve interatrial septumdan kaynaklanan 27x48 mm çapında mobil kitle belirlendi. Nörolojik bulgular kitleden olan emboliye bağlandı. Lezyon ekstrakorporeal dolaşım (EKD) altında, biatrial insizyonla septumdaki yapışma yeriyle birlikte çıkarılıp defekt primer kapatıldı. Patolojik tanı miksoma olarak kondu.

Left atrial mixoma and ischemic stroke

We presented a 15 years old female patient was admitted with complaints of headache, dyspnea and palpitation and was diagnosed in right spastic hemiparesia, left amorozis, 2/6 sistolic murmur in the mitral focuse in physical examination and a mobile mass in 27x48 mm sized orginating from interatrial septum and which prolapses to left ventricle in diastole by echocardiography. It has been thought that the neurological findings result in embolic complication of the atrial mass lesion. The mass lesion was excised radically with its endocardial origin by using biatrial incision with extracorporeal circulation. It was revealed mixoma histopathologically.

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