目的探讨心脏粘液瘤合并动脉栓塞的外科治疗方法。方法回顾性分析2009年1月至2010年1月中国医科大学第一附属医院5例左心房粘液瘤合并动脉栓塞患者的临床资料,其中男2例,女3例;年龄16～55岁。待病情稳定后在体外循环下行左心房粘液瘤切除后同期行Fogarty导管取栓术3例;急诊行腹主动脉Fogarty导管取栓、待病情稳定后在体外循环下行粘液瘤切除术,同期经股动脉行Fogarty导管取栓术1例;急诊行Fogarty导管取栓,同期行左心房粘液瘤切除术1例。术后给予低分子肝素钙抗凝治疗。结果无手术死亡,术后患者肢体疼痛消失,血管超声波检查提示:取栓后动脉血运良好,均治愈出院,平均住院时间20d。随访5例,随访时间6个月至1年。随访期间所有患者均无心脏粘液瘤复发及取栓部位粘液瘤种植转移,下肢血运良好,均无栓塞及血栓事件再次发生。结论心脏粘液瘤合并动脉栓塞患者,如发生重要器官栓塞或外周动脉栓塞无血流通过,应尽早行手术治疗,并根据患者的状态考虑是否同期行心脏粘液瘤切除术;如栓塞的肢体远端血液供应良好,待病情稳定后行心脏粘液瘤切除术,同期行Fogarty导管取栓术。 Objective To investigate the surgical treatment of cardiac myxoma with arterial embolism. Methods The clinical data of 5 cases of left atrial myxoma with arterial embolism in the First Affiliated Hospital of China Medical University from January 2009 to January 2010 were retrospectively analyzed. There were 2 males and 3 females, aged from 16 to 55 years. To be in stable condition after cardiopulmonary bypass downstream left atrial myxoma resection Fogarty catheter thrombolysis in the same period in 3 cases; emergency line abdominal aorta Fogarty catheter embolectomy, to be stable after cardiopulmonary bypass myxoma resection, the same period by the stock One case of arterial catheterization Fogarty catheterization; emergency line Fogarty catheter embolectomy, simultaneous left atrial myxoma resection in 1 case. Postoperative low molecular weight heparin anticoagulant therapy. Results No operative death, postoperative limb pain disappeared, vascular ultrasound examination showed that arterial blood flow after thrombectomy was good, were cured and discharged, the average length of stay 20d. Follow-up in 5 cases, followed up for 6 months to 1 year. During follow-up, all patients had no recurrence of cardiac myxoma and metastasis of myxoma at the site of embolectomy, and blood flow was good in the lower extremities. No embolization and thrombotic events occurred again. Conclusions Patients with cardiac myxoma and arterial embolism should undergo surgical treatment as soon as possible if an important organ embolism or peripheral arterial embolization does not flow through. Patients with cardiac myxoma undergoing cardiac myxoma resection should also be considered. For example, distal end of the embolized limb Blood supply is good, until the condition is stable cardiac myxoma resection, simultaneous Fogarty catheter embolectomy.