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主动脉瓣置换术联合胸壁重建治疗放射性肉瘤。

Aortic valve replacement with simultaneous chest wall reconstruction for radiation-induced sarcoma.

作者信息

Sachithanandan Anand, Dandekar Uday, Grimer Robert, Peart Francis, Rooney Stephen J

机构信息

Department of Cardiothoracic Surgery, Queen Elizabeth Hospital, University Hospital Birmingham NHS Trust, United Kingdom.

出版信息

J Card Surg. 2008 Jan-Feb;23(1):58-9. doi: 10.1111/j.1540-8191.2007.00490.x.

DOI:10.1111/j.1540-8191.2007.00490.x
PMID:18290889
Abstract

Sarcomas, a rare complication of radiotherapy for breast carcinoma, have a poor prognosis. We describe a lady with previous mantle radiotherapy exposure, who developed a radiation-induced chest wall sarcoma. She underwent simultaneous aortic valve replacement (AVR) for severe aortic stenosis and excision of the sarcoma. Chest wall reconstruction was achieved with a composite marlex cement plate and a pedicled latissimus dorsi muscle flap.

摘要

肉瘤是乳腺癌放疗罕见的并发症,预后较差。我们描述了一位曾接受斗篷式放疗的女性,她发生了放射性胸壁肉瘤。她因严重主动脉瓣狭窄同时接受了主动脉瓣置换术(AVR)并切除了肉瘤。采用复合Marlex骨水泥板和带蒂背阔肌肌瓣进行胸壁重建。

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