手术切除与静脉输液港相关的钙化右心房肿物：一例报告
Surgical Removal of a Calcified Right Atrial Mass Related to Venous Access Port: A Case Report.
作者信息
Brungardt Joseph G, Kasi Anup K, Kramer Jeffrey B
机构信息
The University of Kansas, Department of Surgery, 4000 Cambridge, M/S 2005, Kansas City, KS 66160, United States.
The University of Kansas, Department of Oncology, 4000 Cambridge, Kansas City, KS 66160, United States.
出版信息
Int J Surg Case Rep. 2020;69:44-47. doi: 10.1016/j.ijscr.2020.03.043. Epub 2020 Mar 31.
INTRODUCTION
Intracardiac masses pose a difficult diagnostic and therapeutic dilemma. Indwelling catheters can lead to thrombus calcification causing untoward sequelae.
CASE PRESENTATION
We report on a patient who presented after computed tomography identified a large calcified right atrial mass. Her history included treatment for rectal cancer and breast cancer, thus we feared the mass could represent metastasis. The intracardiac mass was successfully resected via a right atriotomy. Her postoperative course was uneventful and the histopathology revealed a calcified thrombus.
DISCUSSION
In this report we discuss our findings and pre- and intraoperative considerations, as well as suggestions for management of implantable venous catheters. This is a rare complication of an indwelling catheter.
CONCLUSION
Operative management of intracardiac lesions is the standard of care. When related to implantable catheters, the best patient care would be prevention of such lesions. This would include routine flushing of the indwelling catheters and prompt removal once not in use.
引言
心内肿物带来了诊断和治疗上的难题。留置导管可导致血栓钙化，引发不良后果。
病例报告
我们报告一例患者，其经计算机断层扫描发现右心房有一个巨大钙化肿物。她有直肠癌和乳腺癌治疗史，因此我们担心该肿物可能是转移瘤。通过右心房切开术成功切除了心内肿物。她术后恢复顺利，组织病理学检查显示为钙化血栓。
讨论
在本报告中，我们讨论了我们的发现以及术前和术中的注意事项，还有关于可植入静脉导管管理的建议。这是留置导管的一种罕见并发症。
结论
心内病变的手术治疗是标准治疗方法。当与可植入导管相关时，最佳的患者护理是预防此类病变。这包括定期冲洗留置导管，一旦不再使用应及时拔除。
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