Hattori Masashi, Matsumura Yu, Yamaki Fumitaka
Department of Cardiovascular Surgery, Nagano Chuo Hospital, Nagano, Japan.
Kyobu Geka. 2016 Jul;69(7):552-5.
A 66-year-old woman who had had coughing and worsening dyspnea for 3 weeks was admitted to our hospital. Echocardiography showed a solid round mass (72×49 mm in diameter) attached to the tricuspid septal annulus with a short stalk. A right atrial myxoma was suspected and operation was performed under cardiopulmonary bypass after heart failure symptoms subsided. The tumor was extirpated along with the tricuspid valve annulus. We performed reconstruction of the tricuspid annulus, tricuspid valve replacement with a bioprosthetic valve and pacemaker implantation. The histopathologic diagnosis was myxoma. The postoperative course was uneventful, and no recurrence has been noted for 1 year after surgery.
一名66岁女性，咳嗽、呼吸困难加重3周，入住我院。超声心动图显示一个实性圆形肿块（直径72×49mm）附着于三尖瓣隔侧瓣环，有一短蒂。怀疑为右房黏液瘤，在心衰症状缓解后，在体外循环下进行手术。肿瘤连同三尖瓣瓣环一并切除。我们进行了三尖瓣环重建、生物瓣置换三尖瓣及起搏器植入。组织病理学诊断为黏液瘤。术后病程顺利，术后1年未发现复发。
