Suzuki Kazuhiro, Tsuboi Hidetoshi, Kamei Toshiaki
Department of Cardiovascular Surgery, Yamaguchi Grand Medical Center, Houfu, Japan.
Kyobu Geka. 2013 Sep;66(10):930-3.
A 34-year-old man experienced lower limb ischemia due to tumor emboli as an initial symptom. Histopathologic examination of the embolic material revealed undifferentiated sarcoma. By echocardiography the original tumor was arising from the posterior mitral leaflet, and therefore, excision of the mitral valve resulted in complete resection of the sarcoma. Mitral valve replacement was performed, and his postoperative course was uneventful. He did not receive postoperative adjuvant therapy. The patient has been undergoing positron emission tomography and electrocardiography on an outpatient basis to check for signs of recurrence. However, no signs of recurrence have been detected for 7 years postoperatively, and the patient leads an active life.
一名34岁男性以肿瘤栓子导致的下肢缺血为首发症状。对栓子材料进行组织病理学检查发现为未分化肉瘤。经超声心动图检查，原发肿瘤起源于二尖瓣后叶，因此，二尖瓣切除导致肉瘤完全切除。进行了二尖瓣置换术，术后过程顺利。他未接受术后辅助治疗。患者一直在门诊接受正电子发射断层扫描和心电图检查以检查复发迹象。然而，术后7年未检测到复发迹象，患者生活积极。
