Filip Grzegorz, Bochenek Maciej, Kapelak Bogusław, Bartuś Krzysztof, Urbańczyk Małgorzata, Sadowski Jerzy
John Paul II Krakow Specialist Hospital, Clinical Department of Cardiovascular Surgery and Transplantation, Krakow, Poland.
John Paul II Krakow Specialist Hospital, Department of Rapid Diagnostics, Krakow, Poland.
Kardiochir Torakochirurgia Pol. 2015 Jun;12(2):150-2. doi: 10.5114/kitp.2015.52857. Epub 2015 Jun 30.
Primary malignant cardiac tumors are rare and are usually detected at an advanced stage of disease. Their location and infiltration often hinder surgical resection. Tissue sarcomas, especially angiosarcomas, are composed of irregular and delicate vascular tissue. The resection of such tumors from the heart is associated with a high risk of life-threatening bleeding that cannot be stopped with traditional surgical methods. We present a case report of the application of a dressing containing human fibrin and thrombin in order to prevent bleeding during the partial resection of advanced cardiac angiosarcoma in a 40-year-old patient.
原发性恶性心脏肿瘤较为罕见,通常在疾病晚期才被发现。其位置和浸润情况常常阻碍手术切除。组织肉瘤,尤其是血管肉瘤,由不规则且精细的血管组织构成。从心脏切除此类肿瘤会面临危及生命的大出血风险,而传统手术方法无法止血。我们报告了一例在一名40岁患者的晚期心脏血管肉瘤部分切除术中应用含有人纤维蛋白和凝血酶敷料以预防出血的病例。