Thukkani Nundhini, Ravichandran P S, Das Asish, Slater Matthew S
Division of Cardiothoracic Surgery, Oregon Health Sciences University, Portland, Oregon 97201, USA.
Ann Thorac Surg. 2005 Feb;79(2):707-9. doi: 10.1016/j.athoracsur.2003.08.038.
Metastatic leiomyomatosis is a rare but potentially life-threatening tumor of smooth muscle cells. Leiomyomas originate predominantly in the uterus and can spread to the lung and, rarely, the heart. We present a case of a 36-year-old woman with known pelvic leiomyomatosis with metastasis to the tricuspid valve. Tricuspid valve replacement was complicated by retroperitoneal hemorrhage from residual pelvic tumor. This potentially catastrophic occurrence should be considered when undertaking resection of intracardiac leiomyomatosis.
转移性平滑肌瘤病是一种罕见但可能危及生命的平滑肌细胞肿瘤。平滑肌瘤主要起源于子宫，可扩散至肺部，很少扩散至心脏。我们报告一例36岁已知患有盆腔平滑肌瘤病并转移至三尖瓣的女性病例。三尖瓣置换术因盆腔残留肿瘤导致腹膜后出血而复杂化。在进行心内平滑肌瘤病切除术时应考虑到这种潜在的灾难性情况。
