[伴肺栓塞的右心房黏液瘤的外科治疗]

[Surgical treatment of a right atrial myxoma with pulmonary embolism].

作者信息

Nakao M, Matsuda H, Nohara H, Higami T, Mukohara N, Asada T, Ogawa K

出版信息

Kyobu Geka. 1989 Oct;42(11):936-9.

Abstract

We report on an 18-year-old man with a right atrial myxoma complicated by widespread pulmonary infarction. Under cardiopulmonary bypass, a typical gelatin-like myxoma of 65 g in weight and the segments of pulmonary infarction were simultaneously removed. From the excised lung specimens, pulmonary tissue infarction caused by myxoma acting as a blocker was recognized. This was a very rare case of myxoma complicated by pulmonary infarction, and we report here the successful removal of the right myxoma and partial pneumonectomy.

摘要

我们报告一例18岁男性，患有右心房黏液瘤并伴有广泛的肺梗死。在体外循环下，同时切除了一个重达65克的典型胶冻样黏液瘤和肺梗死灶。从切除的肺标本中，可识别出黏液瘤作为阻塞物导致的肺组织梗死。这是一例非常罕见的黏液瘤合并肺梗死病例，我们在此报告成功切除右黏液瘤并行部分肺切除术。