Harting Matthew T, Messner Gregory N, Gregoric Igor D, Frazier O H
The Department of Cardiopulmonary Transplantation, Texas Heart Institute, St. Luke's Episcopal Hospital, Houston, Texas 77030, USA.
Tex Heart Inst J. 2004;31(1):93-5.
Malignant tumors that metastasize to the heart pose a formidable therapeutic challenge. Recent advances in surgical treatment have improved the management and prognosis of patients with cardiac metastases. We report the case of a 45-year-old man who had a high-grade pleomorphic sarcoma of the right ventricle. We completely resected the neoplasm, reconstructed the right ventricle, and replaced the mitral valve. Upon late follow-up, 67 months (5.6 years) later, the patient was alive and well. This case shows that aggressive surgical management of malignant disease metastatic to the heart can enable prolonged survival.
转移至心脏的恶性肿瘤带来了严峻的治疗挑战。外科治疗的最新进展改善了心脏转移患者的管理和预后。我们报告了一例45岁男性患者，其右心室患有高级别多形性肉瘤。我们完整切除了肿瘤，重建了右心室，并置换了二尖瓣。在67个月（5.6年）后的晚期随访中，患者存活且状况良好。该病例表明，对转移至心脏的恶性疾病进行积极的外科治疗可实现长期生存。
