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心包内脂肪瘤:在冠状动脉搭桥手术中意外诊断并切除。

Intrapericardial lipoma: diagnosed unexpectedly and resected during coronary artery bypass surgery.

作者信息

Zwolinski Radoslaw, Ammer Arkadiusz, Walczak Andrzej, Jaszewski Ryszard

机构信息

Department of Cardiac Surgery, Medical University, Lodz, Poland.

出版信息

Interact Cardiovasc Thorac Surg. 2010 Aug;11(2):211-2. doi: 10.1510/icvts.2010.233635. Epub 2010 May 4.

Abstract

Cardiac lipomas are extremely rare tumors, they usually remain asymptomatic and are detected incidentally, mostly during autopsies. In symptomatic patients, the diagnosis can easily be made by echocardiography, computed tomography, or magnetic resonance imaging. We report a case of pericardial lipoma found unexpectedly during coronary artery bypass grafting (CABG) surgery. The patient underwent a successful resection of the tumor and CABG via a median sternotomy. The patient is currently asymptomatic and has not presented with evidence of recurrence at the 12-month follow-up.

摘要

心脏脂肪瘤是极其罕见的肿瘤,通常无症状,多在尸检时偶然发现。对于有症状的患者,通过超声心动图、计算机断层扫描或磁共振成像很容易做出诊断。我们报告一例在冠状动脉旁路移植术(CABG)手术中意外发现的心包脂肪瘤病例。该患者通过正中胸骨切开术成功切除肿瘤并进行了冠状动脉旁路移植术。患者目前无症状,在12个月的随访中未出现复发迹象。

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