心脏不停跳下三尖瓣乳头肌纤维弹性瘤的外科治疗：一例报告
Beating-heart surgical treatment of tricuspid valve papillary fibroelastoma: A case report.
作者信息
Li Weidong, Zheng Junnan, Zhao Hengchi, Xu Hongfei, Ni Yiming
机构信息
Department of Thoracic and Cardiovascular Surgery, First Affiliated Hospital of Zhejiang University, School of Medicine, Hangzhou, China.
出版信息
Medicine (Baltimore). 2016 Aug;95(34):e4690. doi: 10.1097/MD.0000000000004690.
BACKGROUND
Cardiac papillary fibroelastomas are rare. And only 15% of the papillary fibroelastomas are located on tricuspid valve. However, the treatment of papillary fibroelastomas varies.
CASE SUMMARY
We report a 75-year-old Chinese male who was hospitalized because of a right atrial mass found by echocardiography. Complete tumor excision along with Kay's tricuspid valvuloplasty surgery on beating heart under cardiopulmonary bypass was performed to the patient. Pathologic examination confirmed the definite diagnosis of cardiac papillary fibroelastoma. The recovery of the patient was uneventful and echocardiographic examination performed 6 months after surgery revealed no recurrence of the tumor.
CONCLUSIONS
Beating-heart surgical excision is an effective and safe treatment of tricuspid papillary fibroelastomas.
背景
心脏乳头肌纤维弹性瘤罕见。仅15%的乳头肌纤维弹性瘤位于三尖瓣。然而，乳头肌纤维弹性瘤的治疗方法各异。
病例摘要
我们报告一名75岁中国男性，因超声心动图发现右心房肿物而住院。对该患者在体外循环下心脏跳动时进行了完整肿瘤切除及凯氏三尖瓣成形术。病理检查确诊为心脏乳头肌纤维弹性瘤。患者恢复顺利，术后6个月的超声心动图检查显示肿瘤无复发。
结论
心脏跳动时手术切除是治疗三尖瓣乳头肌纤维弹性瘤的一种有效且安全的方法。
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