粘液腫切除によりOrtner症候群が改善した1例

Ortner Syndrome Complicated with Giant Myxoma：Report of a Case

はじめに　左房粘液腫は比較的まれな疾患であり，さまざまな症状を呈する．われわれは，急速増大したと考えられる巨大左房粘液腫によりOrtner症候群を合併した1例を経験したので報告する．

A 68-year-old woman were admitted with chief complaints of persistent hoarseness, dysphagia and dyspnea on effort. She was found to have a left atrial myxoma with obstruction of mitral inflow on echocardiogram. The tumor was extensively attached to the atrial septum and left atrium. She underwent successful excision of the myxoma using cardiopulmonary bypass support with an uneventful recovery. The histopathological findings confirmed recent hemorrhage into the myxoma. She was discharged without complications 21 days after the operation. Hoarseness was improved and swallowing function was restored.