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[升主动脉钙化合并右心房脂肪瘤;病例报告]

[Right atrial lipoma with calcification in ascending aorta; report of a case].

作者信息

Yano H, Konagai N, Maeda M, Itoh M, Kuwabara A, Konno O, Kudoh T, Ishimaru S

机构信息

Department of Cardiovascular Surgery, Hachiouji Medical Center of Tokyo Medical University, Hachiouji, Japan.

出版信息

Kyobu Geka. 2002 Nov;55(12):1057-60.

Abstract

A 67-year-old male was diagnosed to have a right atrial tumor by echocardiography incidentally. Computed tomography (CT) indicated a mass which showed very low radiodensity and magnetic resonance imaging (MRI) [T1-weighted] showed the high signal intensity of tumor. We could predict the mass as lipoma. Tumor removal was performed under cardio-pulmonary bypass and under ventricular fibrillation because of the calcification in ascending aorta. Microscopically the tumor was consisted of mature adipose tissue. The postoperative course was uneventful. Cardiac lipomas are rare tumors. CT and MRI are better investigations for preoperative diagnosis. After surgical excision the prognosis is excellent.

摘要

一名67岁男性经超声心动图偶然诊断为右心房肿瘤。计算机断层扫描(CT)显示一个肿块,其放射密度极低,磁共振成像(MRI)[T1加权]显示肿瘤呈高信号强度。我们推测该肿块为脂肪瘤。由于升主动脉钙化,在体外循环和心室颤动下进行了肿瘤切除。显微镜下,肿瘤由成熟的脂肪组织组成。术后过程顺利。心脏脂肪瘤是罕见的肿瘤。CT和MRI对术前诊断更有帮助。手术切除后预后良好。

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