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心脏副神经节瘤:手术切除前在右冠状动脉内置入支架。

Cardiac paraganglioma: stent in right coronary artery prior to surgery resection.

机构信息

Cardiac Surgery Department, Hospital Universitario Puerta de Hierro, Majadahonda, Madrid, Spain.

Cardiology Department, Hemodynamic and Interventional Cardiology Unit, Hospital Universitario Puerta de Hierro, Majadahonda, Madrid, Spain.

出版信息

Eur J Cardiothorac Surg. 2021 Sep 11;60(3):719-720. doi: 10.1093/ejcts/ezab123.

Abstract

Cardiac paragangliomas are extremely rare. Sometimes surgical resection is a challenge owing to the proximity of vital structures and coronary arteries involvement. We report a case of a 34-year-old man with cardiac paragangliomas located between right atrium and right ventricle with a feeding blood supply from collaterals of the right coronary artery. In this case, we implanted a covered single stent (PK Papyrus®) in the right coronary artery with the objective of embolizing collateral branches and to reinforce the coronary artery wall. Although tumour mass was not reduced, vascularization was minimized, and this hybrid strategy made the surgery easier and safer.

摘要

心脏副神经节瘤非常罕见。由于毗邻重要结构和冠状动脉受累,有时手术切除具有挑战性。我们报告了 1 例 34 岁男性患者,其心脏副神经节瘤位于右心房和右心室之间,供血动脉来自右冠状动脉的侧支。在此例中,我们在右冠状动脉内植入了一枚带膜单支架(PK Papyrus®),目的是栓塞侧支并加强冠状动脉壁。虽然肿瘤体积没有减小,但血管化程度最小化,这种混合策略使手术更容易、更安全。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/266d/8434869/54a9c770f32f/ezab123f1.jpg

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