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1例罕见的右房室血管肉瘤的肿瘤减积术及三维重建

Debulking and three-dimensional reconstruction of a rare case of right atrium-ventricular angiosarcoma.

作者信息

Jiang Qin, Yang Xudan, Tan Jin, Huang Keli, Li Wenhua, Hu Shengshou

机构信息

Department of Cardiac Surgery, Sichuan Provincial People's Hospital, University of Electronic Science and Technology, Chengdu, China.

Department of Pathology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology, Chengdu, China.

出版信息

J Card Surg. 2019 Nov;34(11):1416-1419. doi: 10.1111/jocs.14246. Epub 2019 Sep 2.

Abstract

A 48-year-old man presented with chest pain and ischemic manifestations according to an electrocardiogram due to coronary artery compression from a cardiac mass and was admitted to the emergency room and underwent extensive debulking followed by right atrium and ventricular three-dimensional reconstruction with concomitant tricuspid valve remodeling. He recovered a normal sinus rhythm and was discharged from the hospital a week later with a diagnosis of cardiac malignant angiosarcoma according to the pathological examination. He survived and had a normal cardiac structure and function performance, but vertebral metastasis was suspected after more than 4 months of follow-up after the procedure.

摘要

一名48岁男性因心脏肿物压迫冠状动脉出现胸痛及心电图所示的缺血表现,被收入急诊室,接受了广泛的肿瘤减积手术,随后进行了右心房和心室三维重建及三尖瓣重塑。他恢复了正常窦性心律,一周后出院,病理检查诊断为心脏恶性血管肉瘤。他存活下来,心脏结构和功能表现正常,但术后4个多月的随访后怀疑有椎体转移。

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