Department of Cardiac Surgery, First Affiliated Hospital, China Medical University, Shenyang, China.
Department of Cardiac Surgery, First Affiliated Hospital, China Medical University, Shenyang, China.
Ann Thorac Surg. 2021 Oct;112(4):e271-e273. doi: 10.1016/j.athoracsur.2021.01.036. Epub 2021 Jan 31.
We present a case with posterior tricuspid leaflet mass involving a tricuspid annulus and the right ventricle. Echocardiography demonstrated a lobulated mass arising from posterior tricuspid valve and partially obstructing the orifice of the tricuspid valve. At the operation, a yellowish, walnut-sized mass arising from the posterior tricuspid leaflet tightly adherent to the posterior tricuspid annular was excised en bloc with posterior tricuspid leaflet and adherent ventricular myocardium and annulus. Autologous pericardium was used to repair the valve. The pathologic analysis confirmed the mass as a lipoma. In the follow-up, no recurrent mass or symptom was found.
我们报告 1 例累及三尖瓣瓣环和右心室的后瓣叶肿块。超声心动图显示一源于三尖瓣后瓣叶的分叶状肿块，部分阻塞三尖瓣口。手术中，从后瓣叶切下一个黄棕色、胡桃大小的肿块，肿块与后瓣环和粘连的心室心肌紧密相连，一并切除。自体心包用于修复瓣膜。病理分析证实肿块为脂肪瘤。随访中，未发现肿块复发或症状再现。
