Oda K, Tamiya T, Yamamoto A, Toki T, Hirose K, Izumi S
Second Department of Surgery, Kochi Medical School, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1991 Feb;39(2):200-3.
We report a case of right ventricular hemangioma which is extremely rare. It was situated on the anterior wall of the right ventricle and protruded into the out flow tract. Aortography revealed that the main feeding artery was the conus brunch. Operation was done under cardiopulmonary bypass. The tumor was situated between LAD and RCA and resected incompletely, because of the fear that complete removal would occlude blood flow of both LAD and RCA. Histological examination disclosed intramuscular hemangioma. The postoperative course was uneventful. To our knowledge, this is the second resected case in the Japanese literature and the eighth case in the world literature.
我们报告一例极为罕见的右心室血管瘤病例。该血管瘤位于右心室前壁并突入流出道。主动脉造影显示主要供血动脉为圆锥支。手术在体外循环下进行。肿瘤位于左前降支和右冠状动脉之间,因担心完全切除会阻断左前降支和右冠状动脉的血流而未完全切除。组织学检查显示为肌内血管瘤。术后病程平稳。据我们所知,这是日本文献中第二例接受切除的病例,也是世界文献中的第八例。