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妊娠期左心房黏液瘤:采用微创外科手术方法的治疗策略

Left Atrial Myxoma in Pregnancy: Management Strategy Using Minimally Invasive Surgical Approach.

作者信息

Taksaudom Noppon, Traisrisilp Kuntharee, Kanjanavanit Rungsrit

机构信息

Cardiovascular and Thoracic Surgery Unit, Department of Surgery, Maharaj Nakorn Chiang Mai Hospital, Chiang Mai University, Chiang Mai, Thailand.

Department of Obstetrics and Gynecology, Maharaj Nakorn Chiang Mai Hospital, Chiang Mai University, Chiang Mai, Thailand.

出版信息

Case Rep Cardiol. 2017;2017:8510160. doi: 10.1155/2017/8510160. Epub 2017 Apr 16.

Abstract

This case report concerns a young woman who, during her pregnancy, suffered severe mitral regurgitation. It was discovered at the same time that she had a left atrial myxoma. During the early postpartum period she successfully underwent an anterior minithoracotomy to remove the left atrial myxoma in conjunction with repair of the mitral valve. The thoracotomy approach in this specific patient was chosen as it would give a better chance of successful mother-child bonding because the patient would be able to avoid the precautions which would have been necessary following a sternotomy, especially the limitation of her ability to hold her child during the first 4-6 weeks postoperatively.

摘要

本病例报告涉及一名年轻女性,她在怀孕期间出现严重二尖瓣反流。同时发现她患有左心房黏液瘤。在产后早期,她成功接受了前外侧小切口开胸手术,以切除左心房黏液瘤并同时修复二尖瓣。选择对该特定患者采用开胸手术入路,是因为这将为母婴成功建立亲密关系提供更好的机会,因为患者能够避免胸骨切开术后所需的预防措施,特别是术后头4至6周内抱孩子能力的限制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa06/5439244/7ec32145b913/CRIC2017-8510160.001.jpg

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