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巨大右心室浸润性脂肪瘤——一份成功的手术报告。

Giant right ventricle infiltrative lipoma-a surgical success report.

机构信息

Department of Cardiac Surgery, National Institute of Cardiology "Ignacio-Chavez", Mexico City, Mexico.

Department of Pathology, National Institute of Cardiology "Ignacio-Chavez", Mexico City, Mexico.

出版信息

Interact Cardiovasc Thorac Surg. 2020 Aug 1;31(2):277-279. doi: 10.1093/icvts/ivaa089.

Abstract

Benign primary cardiac tumours are rare, with lipomas accounting for <9% of them. Their presentation varies depending on the size and location of the tumour, with the majority of the cases being asymptomatic. We are presenting a case of an extremely rare primary heart-tumour infiltrating the right ventricle (RV) compromising its function. RV lipomas are so unusual that there are no clear treatment guidelines. In this case, we decided to treat the patient with surgical resection of the tumour. Although a total resection was not possible, due to the tumoural proximity to vital structures, a great portion of the tumour was removed, alleviating the patient's symptoms.

摘要

良性原发性心脏肿瘤较为罕见,其中脂肪瘤占比<9%。其表现取决于肿瘤的大小和位置,大多数患者无症状。我们报告了一例极为罕见的原发性心脏肿瘤浸润右心室(RV)并损害其功能的病例。RV 脂肪瘤十分罕见,目前尚无明确的治疗指南。在这种情况下,我们决定对患者进行手术切除肿瘤。虽然由于肿瘤与重要结构相邻,无法完全切除,但仍切除了大部分肿瘤,缓解了患者的症状。

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