Loire R, Termet H
Hôpital Cardiovasculaire Louis-Pradel, Lyon.
Ann Cardiol Angeiol (Paris). 1991 Jan;40(1):1-7.
It was sought to determine whether recurrent cardiac myxomas had special etiological, surgical and/or pathological features differentiating them from usual forms. This involved study of 6 recurrences occurring in 85 patients treated surgically between 1959 and 1989, as well as 33 well documented recurrences in the literature. True recurrent myxomas in young adults have a definite familial nature, frequently occurring within the context of Craney's complex and are due to a multicentre onset. Closer postoperative monitoring is therefore required in such cases. Recurrence of sporadic myxomas is generally due to incomplete excision and can be avoided by precautions regarding operative technique.
旨在确定复发性心脏黏液瘤是否具有与常见类型不同的特殊病因、手术和/或病理特征。这涉及对1959年至1989年间接受手术治疗的85例患者中发生的6例复发情况进行研究,以及对文献中33例记录充分的复发情况进行研究。年轻成年人中的真性复发性黏液瘤具有明确的家族性,常发生在克莱尼综合征的背景下,且是多中心发病。因此,此类病例需要更密切的术后监测。散发性黏液瘤的复发通常是由于切除不完全,通过对手术技术采取预防措施可以避免。