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[右心室横纹肌瘤]

[Rhabdomyolipoma of the right ventricle].

作者信息

Reynen K, Wittekind C, Rein J, Friedrich M, Bachmann K

机构信息

Medizinische Klinik II mit Poliklinik, Universität Erlangen-Nürnberg.

出版信息

Dtsch Med Wochenschr. 1992 Sep 18;117(38):1439-44. doi: 10.1055/s-2008-1062462.

Abstract

Echocardiography on a 29-year-old woman with exercise-unrelated tightness in the left chest for some months demonstrated an echo-dense space-occupying lesion in the outflow tract of the right ventricle (RV). Nuclear magnetic imaging revealed an ovular, fat-containing tumour, 3 x 2 x 2 cm in size. Because of threatened obstruction of the RV outflow tract removal of the tumour under cardiopulmonary bypass was undertaken. But complete removal was possible only by resecting a 2 x 3 cm area of the anterior wall of the RV, the resulting defect being covered with a Goretex patch. Histological examination identified the tumour as a rhabdomyolipoma. The patient was free of symptoms 1 year postoperatively.

摘要

一名29岁女性,数月来左胸有与运动无关的紧绷感,超声心动图显示右心室流出道有一个回声密集的占位性病变。核磁共振成像显示一个椭圆形、含脂肪的肿瘤,大小为3×2×2厘米。由于右心室流出道有受阻风险,遂在体外循环下切除肿瘤。但只有切除右心室前壁2×3厘米的区域才能完整切除肿瘤, resulting defect being covered with a Goretex patch(此处原文有误,推测应为“缺损处用戈尔特斯补片覆盖”)。组织学检查确定该肿瘤为横纹肌瘤。患者术后1年无症状。

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