在机器人再血管化过程中鉴定出七种大动脉的乳头纤维肌瘤
Emily R S Bach1, Roshan Bista2, Adriana Gonzalez Gerdeman3
1Department of Cardiovascular Surgery, Ascension Saint Thomas Hospital West, Nashville, Tennessee, USA.
JACC. Case reports
|November 28, 2025
概括
在手术期间,在患者的大动脉上意外发现了多个乳头纤维质瘤 (PFEs),这是一种罕见的心脏瘤. 术内心声学改变了手术计划,突出了它在诊断罕见心脏瘤方面的重要性.
科学领域:
- 心血管医学 心血管医学
- 心脏外科手术 心脏外科手术
- 诊断成像 诊断成像 诊断成像
背景情况:
- 乳头纤维质质瘤 (PFEs) 是一种罕见的良性初级心脏瘤.
- 单个心脏膜上多个PFE是非常罕见的.
研究的目的:
- 报告一种罕见的多重大动脉胞性纤维质瘤病例.
- 强调手术内心声谱在检测偶然心脏瘤中的作用.
- 讨论心脏膜瘤患者的管理策略.
主要方法:
- 在计划的冠状动脉旁路移植手术 (CABG) 期间,使用了手术内转食管回声心电图 (TEE).
- TEE揭示了主动脉上多个移动质量,导致手术计划的修改.
- 随后进行了膜质量的外科切除和CABG的完成.
主要成果:
- 通过病理学证实了大动脉上7种乳头纤维质瘤.
- 患者的手术最初由于意外的手术内发现而被中止.
- 术后恢复没有任何事件,并计划继续进行心脏护理和监测.
结论:
- 术内TEE对于识别意想不到的心脏质量至关重要,可能会改变手术管理.
- 无症状的PFE可能会偶然被发现,这强调了心声回声学的实用性.
- 管理需要多学科的方法,包括手术干预和长期的随访.
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