Komanapalli Christopher, Alsoufi Bahaaldin, Shen Irving, Slater Matthew
Department of Surgery, Division of Cardiothoracic Surgery, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA.
J Card Surg. 2006 Nov-Dec;21(6):587-9. doi: 10.1111/j.1540-8191.2006.00309.x.
Pulmonary artery sarcomas are a diagnostic and therapeutic challenge. Most patients are initially thought to have pulmonary emboli, and during embolectomy, a sarcoma is found. Given the significant morbidity and mortality of cardiac sarcomas, an aggressive strategy for resection is indicated, as this leads to benefits in disease-free and overall survival. Imaging tests and clinical signs and symptoms may assist in accurate preoperative determination of pulmonary artery sarcoma. We present an interesting case of a patient with pulmonary artery sarcoma who underwent successful re-resection, along with a brief discussion regarding preoperative imaging and the surgical resection of these tumors.
肺动脉肉瘤在诊断和治疗方面都颇具挑战。大多数患者最初被认为患有肺栓塞,而在进行栓子切除术时才发现是肉瘤。鉴于心脏肉瘤具有较高的发病率和死亡率,因此需要采取积极的切除策略,因为这有助于提高无病生存率和总生存率。影像学检查以及临床体征和症状可能有助于准确地在术前判定肺动脉肉瘤。我们介绍了一例成功接受再次切除手术的肺动脉肉瘤患者的有趣病例,并简要讨论了术前影像学检查以及这些肿瘤的手术切除情况。