[导管切除后右心房髓瘤:一个病例报告]
Shuichi Okada1, Masahiko Ezure, Shigeto Naito
1Division of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Maebashi, Japan.
概括
一名81岁的男性,有胸前大动脉动脉瘤修复和心房动病史,呈现出右心房质量. 手术切除揭示了myxomatous组织,没有任何事件的恢复.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 病理学 病理学 病理学
背景情况:
- 右心房质量可能是心脏病史患者的偶然发现.
- 以前的胸前动脉动脉瘤修复和心房移除是患者相关的并发症.
研究的目的:
- 报告老年男性患者右心房质量的病例.
- 描述右心房瘤的诊断和手术管理.
主要方法:
- 跨胸腔和跨食道心声学被用于质量表征.
- 进行了右心房瘤的手术切除,避免在管过程中与右心房直接接触.
- 切除的组织的病理检查.
主要成果:
- 心声学检测出一个23x17毫米的精确定义的质量在右心室,附着在腔椎间盘.
- 该质量与相邻的右心房壁一起成功切除.
- 病理学分析证实了体组织的存在.
结论:
- 手术切除是对右心房质量的可行的治疗方法.
- 体组织是对右心房瘤的可能诊断.
- 患者经历了无事件的术后恢复,并在手术后23天出院.
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