Sakurai Yosuke, Kunii Yoshifumi, Tateishi Minori, Okugi Satoshi, Cao Yuchen, Koide Masaaki
Department of Cardiovascular Surgery, Seirei Hamamatsu General Hospital, Shizuoka, Japan.
J Card Surg. 2019 Oct;34(10):1120-1122. doi: 10.1111/jocs.14183. Epub 2019 Aug 2.
Surgical treatment of cardiac fibroma is rare in patients with left ventricular noncompaction (LVNC). Although several case reports regarding cardiac fibroma have been published, resection in a patient with LVNC has not been described. Here, we describe the surgical treatment of left ventricular fibroma in a child with LVNC. We resected a cardiac fibroma in a 10-year-old boy with LVNC to control ventricular arrhythmia. Partial resection with careful tumor dissection was performed to avoid endocardial damage and entering the ventricular cavity. The postoperative course was uneventful, and the patient remains asymptomatic without heart failure or arrhythmia. Surgical excision of cardiac fibroma can be performed safely with excellent results, even in a child with LVNC.
左心室心肌致密化不全（LVNC）患者中，心脏纤维瘤的外科治疗较为罕见。尽管已有多篇关于心脏纤维瘤的病例报告发表，但LVNC患者的纤维瘤切除术尚未见报道。在此，我们描述了1例LVNC患儿左心室纤维瘤的外科治疗情况。我们为1名患有LVNC的10岁男孩切除了心脏纤维瘤，以控制室性心律失常。手术采用部分切除并仔细剥离肿瘤，避免损伤心内膜和进入心室腔。术后过程顺利，患者无症状，无心力衰竭或心律失常。即使是LVNC患儿，心脏纤维瘤的手术切除也可安全进行，且效果良好。
