Chung Jin Woo, Shin Je Kyoun, Chee Hyun Keun, Kim Jun Seok, Kim Dong Chan, Park Jae Bum
Department of Thoracic and Cardiovascular Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Korea.
Korean J Thorac Cardiovasc Surg. 2012 Jun;45(3):202-4. doi: 10.5090/kjtcs.2012.45.3.202. Epub 2012 Jun 7.
A 55-year-old woman who had a history of percutaneous vertebroplasty was referred to our institution with sudden onset of chest pain. Computed tomography (CT) scan demonstrated a long, linear, highly-attenuated segment in the right side of the heart and fragmented pieces in the right pulmonary artery. The CT scan and echocardiogram revealed no pericardial effusion or hemopericardium. Based on these findings, we performed surgery through right anterolateral thoracotomy without cardiac arrest. As a result, we safely removed the foreign body. This approach may be a feasible and effective procedure for selected cases.
一名有经皮椎体成形术病史的55岁女性因突发胸痛被转诊至我院。计算机断层扫描(CT)显示心脏右侧有一长条形、高密度的节段,右肺动脉内有碎片。CT扫描和超声心动图未发现心包积液或心包积血。基于这些发现,我们在不进行心脏停搏的情况下通过右前外侧开胸进行了手术。结果,我们安全地取出了异物。对于特定病例,这种方法可能是一种可行且有效的手术。