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在致命性室性心律失常的情况下,对于大型无症状心脏纤维瘤的手术考虑。

Surgical considerations for large asymptomatic cardiac fibromas in the context of fatal ventricular arrhythmias.

机构信息

Department of Cardiothoracic Surgery, Prince of Wales Hospital, Barker Street, Randwick, NSW 2031, Australia.

出版信息

Heart Lung Circ. 2012 Nov;21(11):750-3. doi: 10.1016/j.hlc.2012.03.005. Epub 2012 Apr 12.

DOI:10.1016/j.hlc.2012.03.005
PMID:22503173
Abstract

Cardiac fibromas are rare intracardiac neoplasms but represent the most common resectable tumours of childhood. They can remain asymptomatic for extended periods of time but a pertinent and unpredictable risk of sudden cardiac death and fatal ventricular arrhythmia always exists even in asymptomatic patients. We report a case of an asymptomatic two month-old with cardiac fibroma who presented with a ventricular tachycardia (VT) arrest. Here, we discuss management of cardiac fibroma in the context of occurrence of sudden VT.

摘要

心脏纤维瘤是罕见的心脏内肿瘤,但它是儿童最常见的可切除肿瘤。它们可以在很长一段时间内无症状,但即使在无症状患者中,也始终存在突发心源性死亡和致命性室性心律失常的相关且不可预测的风险。我们报告了一例两个月大的无症状婴儿,患有心脏纤维瘤,表现为室性心动过速(VT)骤停。在这里,我们将讨论在突发 VT 发生的情况下心脏纤维瘤的处理。

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Heart Lung Circ. 2012 Nov;21(11):750-3. doi: 10.1016/j.hlc.2012.03.005. Epub 2012 Apr 12.
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引用本文的文献

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Stereotactic radiosurgery as a treatment for recurrent ventricular tachycardia associated with cardiac fibroma.立体定向放射外科治疗与心脏纤维瘤相关的复发性室性心动过速。
HeartRhythm Case Rep. 2018 Oct 24;5(1):44-47. doi: 10.1016/j.hrcr.2018.10.007. eCollection 2019 Jan.
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Surgical Treatment of Large Left Ventricular Fibroma in Children.儿童巨大左心室纤维瘤的外科治疗
Chin Med J (Engl). 2017 Jul 20;130(14):1737-1738. doi: 10.4103/0366-6999.209901.
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Right ventricular outflow tract obstruction caused by right ventricular fibroma in a 5-month-old infant: a case report.
5个月大婴儿右心室纤维瘤导致右心室流出道梗阻:一例报告
J Cardiothorac Surg. 2017 Jun 12;12(1):49. doi: 10.1186/s13019-017-0612-6.
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Cardiac fibroma presenting as sudden unexpected death in an adolescent.心脏纤维瘤表现为青少年猝死。
Forensic Sci Med Pathol. 2014 Dec;10(4):647-50. doi: 10.1007/s12024-014-9582-3. Epub 2014 Jul 16.
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Surgical treatment of left ventricular fibroma accompanied with ventricular septal defect in an infant: a case report.婴儿左心室纤维瘤合并室间隔缺损的外科治疗:1例报告
J Cardiothorac Surg. 2014 Feb 20;9:37. doi: 10.1186/1749-8090-9-37.