Ota T, Okumura S, Hagihara H
Thoracic Cardiovascular Surgery, Mimihara General Hospital, Osaka, Japan.
Kyobu Geka. 1999 Feb;52(2):109-11.
A 41-year-old male undergoing outpatient therapy for hypertension was to have a mass in the left atrium by echocardiography for screening. Transesophageal echocardiography did not identify the attachment of the tumor. The optimal approach to the tumor was determined depending on the findings of intraoperative echocardiography which well visualized the attachment of the tumor. The tumor, a large myxoma filling the most inner space of the left atrium, was extirpated via incisions in the right atrium and interatrial septum. Intraoperative echocardiography is an extremely useful method to determine the optimal approach for tumor resection. It is especially useful in cases of left atrial myxoma which has an unclear attachment on preoperative examination.
一名41岁接受高血压门诊治疗的男性，通过超声心动图筛查发现左心房有一个肿块。经食管超声心动图未明确肿瘤的附着情况。根据术中超声心动图的结果确定了针对该肿瘤的最佳手术入路，术中超声心动图清晰地显示了肿瘤的附着情况。该肿瘤为一个巨大的黏液瘤，占据了左心房的最内部空间，通过右心房和房间隔切口将其切除。术中超声心动图是确定肿瘤切除最佳手术入路的极其有用的方法。在术前检查中肿瘤附着情况不明的左心房黏液瘤病例中尤其有用。
