Department of Cardiovascular Surgery, Hyogo College of Medicine, Nishinomiya City, Japan.
Department of Cardiovascular Surgery, Hyogo College of Medicine, Nishinomiya City, Japan.
Ann Thorac Surg. 2021 Aug;112(2):e119-e121. doi: 10.1016/j.athoracsur.2020.11.050. Epub 2021 Jan 11.
A 25-year-old man presented with palpitations and subsequently received a diagnosis of a large epicardial cyst (6.8 × 3.8 cm) originating from the left ventricle. The cyst compressed the left atrium and ventricle and led to left ventricular diastolic dysfunction. Contrast-enhanced chest computed tomography revealed that the circumflex artery passed over or through the cyst. We successfully resected the cyst without using cardiopulmonary bypass through a left mini-thoracotomy with thoracoscopic assistance. The diastolic dysfunction improved after the procedure. Most epicardial cysts may be treated in this fashion if the cyst is located in the left side of the heart.
一位 25 岁男性因心悸就诊，随后被诊断为起源于左心室的大型心外膜囊肿（6.8×3.8cm）。囊肿压迫左心房和心室，导致左心室舒张功能障碍。增强胸部 CT 显示，回旋支动脉从囊肿上方或穿过囊肿。我们通过左小开胸术（辅以胸腔镜）成功地切除了囊肿，而无需使用体外循环。术后舒张功能障碍得到改善。如果囊肿位于心脏左侧，大多数心外膜囊肿可以采用这种方式进行治疗。
