DeAndrade Diana S, Kilic Arman, Christie Neil A, Sultan Ibrahim
Department of Anesthesiology, University of Pittsburgh and University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Division of Cardiac Surgery, University of Pittsburgh and University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
J Card Surg. 2019 Apr;34(4):223-225. doi: 10.1111/jocs.14014. Epub 2019 Mar 9.
A 58-year-old man presented with left-sided chest discomfort 9 years ago. At that time a 12-centimeter extrapleural mass was resected via left thoracotomy. Surgical pathology revealed a low-grade myxofibrosarcoma. Since that time, he had undergone three separate resections of recurrent left extrapleural masses with sternotomy and thoracotomy. He proceeded to have a five-year disease-free interval after which a pericardial mass invading into the right atrial free wall, the atrioventricular groove, and the right coronary artery was identified. Surgical resection was performed with negative margins and the right atrium and atrioventricular groove were reconstructed without any residual tricuspid regurgitation.
一名58岁男性9年前出现左侧胸部不适。当时通过左胸切开术切除了一个12厘米的胸膜外肿块。手术病理显示为低度黏液纤维肉瘤。从那时起，他又接受了三次分别通过胸骨切开术和胸切开术对复发性左侧胸膜外肿块的切除。之后他经历了五年无病期，随后发现一个心包肿块侵犯了右心房游离壁、房室沟和右冠状动脉。进行了手术切除，切缘阴性，右心房和房室沟得以重建，且没有任何残留的三尖瓣反流。
