Department of Ultrasound, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China.
Department of Cardiac Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China.
Ann Thorac Surg. 2018 Apr;105(4):e159-e161. doi: 10.1016/j.athoracsur.2017.11.041. Epub 2017 Dec 16.
Surgical resection is the conventional therapeutic action for patients with an obstructive cardiac tumor. However, for patients in poor clinical condition, cardiac operation can be risky. We report on the successful percutaneous radiofrequency (RF) ablation treatment of a right ventricular giant myxoma in a 70-year-old woman with right ventricular outflow tract (RVOT) and pulmonary artery stenosis, who was unable to tolerate operation. The treatment was effective in relieving RVOT stenosis and improving symptoms. We believe the RF ablation may also be used as a supplementary technique for the treatment of obstructive cardiac tumors, when only partial resection is possible.
手术切除是梗阻性心脏肿瘤患者的常规治疗方法。然而,对于临床状况不佳的患者,心脏手术可能存在风险。我们报告了一例右心室流出道(RVOT)和肺动脉狭窄的 70 岁女性右心室巨大黏液瘤患者,成功进行了经皮射频(RF)消融治疗,该患者不能耐受手术。该治疗有效地缓解了 RVOT 狭窄并改善了症状。我们认为,当仅能进行部分切除时,RF 消融也可作为梗阻性心脏肿瘤的治疗辅助技术。