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在升主动脉钙化的情况下切除左心房黏液瘤:一项外科挑战。

Excision of a left atrial myxoma in the presence of a calcified ascending aorta: a surgical challenge.

作者信息

Al-Sarraf Nael, Al-Shammari Fahad, Arafa Osama, Al-Fadhli Jamal

机构信息

Department of Cardiac Surgery, Chest Disease Hospital, Kuwait.

出版信息

Gen Thorac Cardiovasc Surg. 2010 Feb;58(2):101-4. doi: 10.1007/s11748-009-0485-2. Epub 2010 Feb 13.

DOI:10.1007/s11748-009-0485-2
PMID:20155349
Abstract

Atrial myxomas are rare tumors that require surgical excision. However, in the presence of a severely calcified ascending aorta, such excision becomes rather challenging and difficult. Here we report a case of a left atrial myxoma in a 64-year-old woman with an extensively calcified aorta that was successfully excised using cardiopulmonary bypass beating-heart technique without the need for cardioplegic cardiac arrest and aortic cross-clamping. The use of this technique proved useful with no increased risk incurred to the patient.

摘要

心房黏液瘤是需要手术切除的罕见肿瘤。然而,在升主动脉严重钙化的情况下,这种切除变得相当具有挑战性和困难。在此,我们报告一例64岁女性左心房黏液瘤病例,其主动脉广泛钙化,采用体外循环心脏跳动技术成功切除,无需心脏停搏和主动脉阻断。事实证明,使用该技术是有效的,且未给患者带来额外风险。

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Excision of a left atrial myxoma in the presence of a calcified ascending aorta: a surgical challenge.在升主动脉钙化的情况下切除左心房黏液瘤:一项外科挑战。
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Less invasive intracardiac surgery performed without aortic clamping.在不夹闭主动脉的情况下进行的微创心脏内手术。
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Surgical experience with 77 primary cardiac tumors.77例原发性心脏肿瘤的手术经验。
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Atrial versus biatrial approaches for cardiac myxomas.心房与双心房入路治疗心脏黏液瘤
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Surgical experience with intracardiac myxomas: long-term follow-up.心脏黏液瘤的手术经验:长期随访
Ann Thorac Surg. 1998 Sep;66(3):810-3. doi: 10.1016/s0003-4975(98)00591-8.
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Surgical management of intracardiac myxomas. A 16-year experience.心脏黏液瘤的外科治疗。16年经验。
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