室间隔转移性肝细胞癌切除致左心室流出道梗阻。

Resection of Metastatic Hepatocellular Carcinoma in the Ventricular Septum Causing Left Ventricular Outflow Tract Obstruction.

机构信息

Division of Cardiothoracic Surgery, CardioVascular Thoracic Institute, Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California.

出版信息

Ann Thorac Surg. 2018 Mar;105(3):e107-e108. doi: 10.1016/j.athoracsur.2017.09.052.

DOI:10.1016/j.athoracsur.2017.09.052

PMID:29455819

Abstract

Isolated cardiac involvement of recurrent metastatic hepatocellular carcinoma (HCC) is extremely rare. We report a patient with left ventricular outflow tract (LVOT) obstruction due to isolated recurrent HCC involving the interventricular septum (IVS). A ventriculotomy with resection of the tumor and patch repair of the IVS was performed with successful relief of LVOT obstruction. The patient was discharged home 6 days later symptom-free.

摘要

孤立性心脏转移性肝细胞癌（HCC）累及极为罕见。我们报告了 1 例因孤立性复发性 HCC 累及室间隔（IVS）导致左心室流出道（LVOT）阻塞的患者。通过心室外切开术切除肿瘤并修补 IVS 成功缓解 LVOT 阻塞。患者术后 6 天无症状出院。