Taguchi Takura, Fukushima Satsuki, Yajima Shin, Saito Tetsuya, Kawamoto Naonori, Tadokoro Naoki, Kakuta Takashi, Fujita Tomoyuki
Department of Cardiac Surgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.
J Card Surg. 2021 Jan;36(1):342-344. doi: 10.1111/jocs.15152. Epub 2020 Oct 30.
Primary cardiac lymphoma (PCL) is rare, with a frequency of 1.0%-1.6% among cardiac malignant tumors. Chemotherapy is often selected as a first-line treatment for PCL. However, when the tumor causes heart failure or life-threatening hemodynamic collapse, antecedent urgent surgery is required. We herein report a successful case of complete tumor resection and reconstruction of the right atrium and right ventricle using a bovine pericardial patch combined with tricuspid valve replacement in a patient with a huge PCL filling the right heart that manifested as tricuspid valve stenosis and subsequent heart failure.
原发性心脏淋巴瘤(PCL)较为罕见,在心脏恶性肿瘤中所占比例为1.0%-1.6%。化疗通常被选为PCL的一线治疗方法。然而,当肿瘤导致心力衰竭或危及生命的血流动力学崩溃时,则需要先行紧急手术。在此,我们报告一例成功病例,该病例为一名患有巨大PCL并累及右心的患者,其表现为三尖瓣狭窄及随后的心力衰竭,通过使用牛心包补片联合三尖瓣置换术成功切除肿瘤并重建右心房和右心室。