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» Economics » Kardiologie » Topics begins with M » Myxom


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Etiology

The Vorhofmyxom belongs to the rare group of the benignen primary heart tumors. In Autopsieserien up to 0,3%; w: m = 3:1; Age summit 40. - 60. Lebensjahr.

Localization

The tumor can occur in all four heart caves, is however to 95% in the forecourts.

Hospital

Palpitationen, rapidly progrediente dyspnea, situation-dependent thorax pain.

Pathology

Macroscopically it concerns a spherical polyp eye or zottige tumefaction with soft gelatinous consistency. Although the tumor can be confounded histologically with a Thrombus in organization, it is derived pathogenetically from a genuine neoplasia undifferentiated endokardialer Mesenchymzellen. The tumors on the average 5-6 cm largely and to cling the Endokard usually gestielt on (rarely wide foundationed).

Complications

arterial Embolien, heartbeat disturbances, acute pulmonary edema due to link ago failure

Differential diagnosis

Vitien, thorax pain of other genesis, intrakardiale Thromben

Therapy

Rapid operation with possible Patchimplantation at the septum, physical indulgence, anti-coagulation


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