原发性心脏血管肉瘤切除术及带蒂自体心包重建术：一例报告。
Primary cardiac angiosarcoma resection and reconstruction with pedicled autologous pericardium: A case report.
作者信息
Gonda Hirotake, Nakayama Masato, Toyama Masashi, Kato Takehito
机构信息
Department of General Surgery, Toyohashi Municipal Hospital, Aichi, Japan.
Department of Cardiovascular Surgery, Toyohashi Municipal Hospital, Aichi, Japan.
出版信息
Int J Surg Case Rep. 2020;69:61-63. doi: 10.1016/j.ijscr.2020.03.045. Epub 2020 Apr 3.
INTRODUCTION
Primary cardiac angiosarcoma is rare, and its prognosis remains poor. Complete surgical resection is the first choice among the available treatments, to ensure prolonged patient survival.
PRESENTATION OF CASE
We report the case of a 72-year-old man with right atrial angiosarcoma who presented with bloody pericardial effusion due to tumor hemorrhaging. Emergency surgery was performed. The right atrial free wall and vena cava were reconstructed with pedicled autologous pericardium. The patient died 12 months later because of multiple organ failure due to metastasis. Autopsy showed a maintained right atrial chamber and only mild calcification.
DISCUSSION
Pedicled autologous pericardium may have contributed to preserving cardiac function that could withstand chemotherapy and radiotherapy.
CONCLUSION
Pedicled autologous pericardium was found to be useful for reconstructing the cardiac chamber after removal of a cardiac tumor.
引言
原发性心脏血管肉瘤罕见，其预后仍然很差。完整的手术切除是现有治疗方法中的首选，以确保患者长期生存。
病例介绍
我们报告一例72岁男性右心房血管肉瘤患者，因肿瘤出血出现血性心包积液。进行了急诊手术。用带蒂自体心包重建右心房游离壁和腔静脉。患者12个月后因转移导致多器官衰竭死亡。尸检显示右心房腔保持原状，仅有轻度钙化。
讨论
带蒂自体心包可能有助于维持心脏功能，使其能够耐受化疗和放疗。
结论
发现带蒂自体心包在切除心脏肿瘤后重建心腔方面是有用的。
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