巨大左房脂肪瘤合并冠状动脉疾病。
A large left atrial lipoma combined with coronary artery disease.
作者信息
Liu Yun, Zheng Xiaomei, Du Yu, Zhu Zhicheng, Wang Tiance, Xu Rihao, Li Dan, Liu Kexiang
机构信息
The Second Affiliated Hospital of Jilin University, Changchun, China.
出版信息
J Cardiothorac Surg. 2017 Aug 22;12(1):71. doi: 10.1186/s13019-017-0633-1.
BACKGROUND
Primary benign tumors of the heart are extremely rare and usually difficult to diagnose for their asymptomatic signs.
CASE PRESENTATION
A 66-year-old woman was admitted for shortness of breath caused by a large left atrial lipoma combined with coronary artery disease. Next, we successfully performed simultaneous curative surgery for the large cardiac lipoma and coronary artery bypass grafting with a "starfish" and no cardiopulmonary bypass was used.The patient was discharged on the eighth postoperative day in a good condition, and has remained asymptomatic at the 5-month follow-up.
CONCLUSIONS
Lipomas are rare and difficult to diagnose, while computed tomography and computed tomography angiography can give us very important clues. Surgery is necessary. We can introduce a "starfish"to the operationand the cardiopulmonary bypass is unnecessary for the left lipoma with coronary artery disease.
背景
原发性心脏良性肿瘤极为罕见，因其无症状体征通常难以诊断。
病例介绍
一名66岁女性因巨大左房脂肪瘤合并冠状动脉疾病导致呼吸急促入院。接下来，我们成功地采用“海星”技术为该巨大心脏脂肪瘤和冠状动脉搭桥术同时进行了根治性手术，且未使用体外循环。患者术后第八天状况良好出院，在5个月的随访中一直无症状。
结论
脂肪瘤罕见且难以诊断，而计算机断层扫描和计算机断层血管造影可为我们提供非常重要的线索。手术是必要的。我们可以在手术中引入“海星”技术，对于合并冠状动脉疾病的左脂肪瘤无需进行体外循环。
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