Murakami A, Hamanaka H, Ueyama T, Kitagawa M, Asanoi H, Sumitani T
First Department of Surgery, Toyama Medical and Pharmaceutical University, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1991 Mar;39(3):361-5.
A case of 70 years old female bearing a primary cardiac tumor was presented. Mitral valve replacement and reconstruction of the interatrial septum were necessary because the tumor originated from the left atrial side of the interatrial septum and invaded the anterior mitral valve leaflet and around the annular area. Pathological examination of the resected specimens revealed mesenchymal tumor containing chondrosarcomatous component. The patient received radiation therapy (50 Gy) postoperatively and she resumed normal daily activity. Preoperative echocardiographic manifestations were of proved benefit in the diagnosis of malignant cardiac tumor and a proper therapeutic strategy could be chosen.
本文报告一例70岁女性原发性心脏肿瘤患者。由于肿瘤起源于房间隔左房侧，侵犯二尖瓣前叶及瓣环周围区域，因此需要进行二尖瓣置换及房间隔重建。切除标本的病理检查显示为含有软骨肉瘤成分的间叶性肿瘤。患者术后接受了放射治疗（50 Gy），并恢复了正常的日常活动。术前超声心动图表现对恶性心脏肿瘤的诊断有明确帮助，有助于选择合适的治疗策略。
