Nakayama Yuki, Ayusawa Y, Shiikawa A
Department of Cardiovascular Surgery, Senndai Cardiovascular Center, Senndai, Japan.
Kyobu Geka. 2008 Jun;61(6):501-3.
A 67-year-old man presented with lower-extremity edema and shortness on breath. Cardiac tumor consecutive from the arteria renalis level was admitted by computed tomography (CT) and magnetic resonance imaging (MRI). It flows to the right ventricle at the diastolic phase. The emergency surgery was enforced for the prevention of pulmonary embolism and haemodynamic sustain. The atrial tumor was resected under cardiopulmonary bypass. However, it was difficult to resect completely tumor in the inferior vena cava (IVC), because of infiltration to the wall of IVC. The pathological findings was clear cell carcinoma, so-called renal cell carcinoma. Interferon (IFN) therapy was continued after the operation.
一名67岁男性出现下肢水肿和呼吸急促。通过计算机断层扫描（CT）和磁共振成像（MRI）确诊为源自肾动脉水平的心脏肿瘤。舒张期肿瘤流入右心室。为预防肺栓塞和维持血流动力学而进行了急诊手术。在体外循环下切除心房肿瘤。然而，由于肿瘤浸润至下腔静脉（IVC）壁，很难完全切除下腔静脉内的肿瘤。病理检查结果为透明细胞癌，即所谓的肾细胞癌。术后继续进行干扰素（IFN）治疗。
