Kawamoto Jun, Ishibashi Koshiro, Shibukawa Takanori, Izutani Hironori
Division of Cardiovascular Surgery, National Hospital Organization Kure Medical Center, 3-1 Aoyama-cho, Kure, Hiroshima 737-0023, Japan.
Gen Thorac Cardiovasc Surg. 2007 Aug;55(8):322-4. doi: 10.1007/s11748-007-0134-6.
A 44-year-old man was found to have a left ventricular mass by transthoracic echocardiography. He had had multiple events of systemic embolization over the last few years. The heart was not dilated, and heart function was normal. Surgical excision was recommended to avoid further embolization. A transverse aortotomy was carried out under cardioplegic cardiac arrest with standard cardiopulmonary bypass. A transaortic video-assisted endoscopic procedure was performed. The mass was resected endoscopically without left ventriculotomy. Pathologically, the excised mass was an organized thrombus with a fibrous stalk connected to endocardium. We thus report a case of left ventricular thrombus with a normally functioning heart.
一名44岁男性经胸超声心动图检查发现左心室有一肿块。在过去几年里，他发生了多次全身性栓塞事件。心脏未扩张，心功能正常。建议进行手术切除以避免进一步栓塞。在心脏停搏和标准体外循环下进行横向主动脉切开术。实施了经主动脉电视辅助内镜手术。在内镜下切除肿块，未进行左心室切开术。病理检查显示，切除的肿块是一个有组织的血栓，有一个纤维性蒂与心内膜相连。因此，我们报告一例心脏功能正常的左心室血栓病例。
