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非体外循环下切除巨大炎性心包囊肿

Off-pump resection of a giant inflamed epicardial cyst.

作者信息

Kaneyuki Daisuke, Sakata Tomoki, Nomura Anan, Sakurai Manabu, Mogi Kenji, Takahara Yoshiharu

机构信息

Division of Cardiovascular Surgery, Heart and Vascular Institute, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, Funabashi-shi, Chiba, 273-8588, Japan.

出版信息

Surg Case Rep. 2018 Aug 6;4(1):87. doi: 10.1186/s40792-018-0495-3.

DOI:10.1186/s40792-018-0495-3
PMID:30083804
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6081983/
Abstract

BACKGROUND

Epicardial cysts are rarer benign tumors than pericardial cysts. There have been few reports on surgical management for epicardial cysts.

CASE PRESENTATION

A 73-year-old woman with dyspnea on exertion had a giant cyst (12 × 10 cm in diameter) on preoperative computed tomography. Compression of the left atrium and ventricle by the cyst was considered to be the cause of her symptoms. The cyst was diagnosed with an epicardial cyst intraoperatively. Although the cyst adhered to surrounding tissues, it was successfully resected with off-pump surgery by using a heart positioner and an ultrasonic scalpel.

CONCLUSIONS

Surgeons should consider off-pump surgery as an alternative to video-assisted thoracoscopic surgery and on-pump surgery for complicated epicardial cysts.

摘要

背景

心外膜囊肿是比心包囊肿更罕见的良性肿瘤。关于心外膜囊肿手术治疗的报道较少。

病例介绍

一名73岁女性，活动时呼吸困难，术前计算机断层扫描显示有一个巨大囊肿（直径12×10厘米）。囊肿对左心房和心室的压迫被认为是其症状的原因。术中诊断该囊肿为心外膜囊肿。尽管囊肿与周围组织粘连，但通过使用心脏定位器和超声刀进行非体外循环手术成功将其切除。

结论

对于复杂的心外膜囊肿，外科医生应考虑将非体外循环手术作为电视辅助胸腔镜手术和体外循环手术的替代方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3331/6081983/a4ac6f135481/40792_2018_495_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3331/6081983/62cbd3f45e4e/40792_2018_495_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3331/6081983/c4b1109f7f5b/40792_2018_495_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3331/6081983/a4ac6f135481/40792_2018_495_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3331/6081983/62cbd3f45e4e/40792_2018_495_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3331/6081983/c4b1109f7f5b/40792_2018_495_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3331/6081983/a4ac6f135481/40792_2018_495_Fig3_HTML.jpg

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引用本文的文献

1
Epicardial mesothelial cyst originating from the roof of the left atrium: a case report.起源于左心房顶部的心外膜间皮囊肿：一例报告
Eur Heart J Case Rep. 2022 Apr 8;6(5):ytac157. doi: 10.1093/ehjcr/ytac157. eCollection 2022 May.
2
Giant Epicardial Cyst Eroding Left Ventricular Wall Mimicking as Simple Pericardial Cyst.巨大的心外膜囊肿侵蚀左心室壁，类似于单纯性心包囊肿。
Braz J Cardiovasc Surg. 2022 May 2;37(2):273-276. doi: 10.21470/1678-9741-2020-0623.

本文引用的文献

1
Excision of epicardial cyst originating from the left ventricle using video-assisted thoracoscopic surgery without cardiopulmonary bypass.经胸腔镜手术切除左心室心外膜囊肿，无需体外循环。
Eur J Cardiothorac Surg. 2017 Jul 1;52(1):197-198. doi: 10.1093/ejcts/ezx067.
2
Epicardial cysts: report of two rare cases.心外膜囊肿：两例罕见病例报告。
Heart Surg Forum. 2012 Feb;15(1):E49-50. doi: 10.1532/HSF98.20111117.
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A rare case of epicardial cyst.一例罕见的心外膜囊肿。
Thorac Cardiovasc Surg. 2008 Apr;56(3):167-8. doi: 10.1055/s-2007-964960.
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Epicardial mesothelial cyst located over the left anterior descending coronary artery.位于左前降支冠状动脉上方的心外膜间皮囊肿。
Tex Heart Inst J. 2004;31(3):313-5.
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Successful resection of an epicardial cyst.成功切除心外膜囊肿。
Ann Thorac Surg. 2002 May;73(5):1633-4. doi: 10.1016/s0003-4975(01)03267-2.
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An epicardial cyst in a child.一名儿童的心包囊肿。
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Epicardial cyst--a case report.心外膜囊肿——一例报告。
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A case of epicardial cyst.一例心外膜囊肿。
Jpn Circ J. 1991 Jan;55(1):53-7. doi: 10.1253/jcj.55.53.