Suzuki Ryo, Morimoto Kimitaka, Itou Yoshiro, Suzuki Masato, Ohori Shunsuke, Kudo Ryousuke, Yokoyama Hideo, Ohkawa Youhei
Department of Cardiovascular Surgery, Hokkaido Ohno Memorial Hospital, Sapporo, Japan.
Kyobu Geka. 2021 Aug;74(8):611-614.
A 70-year-old man with a history of lacunar stroke about a year before was incidentally found to have primary cardiac tumor during the work up for orthopedic surgery. It uniquely originated from the coumadin ridge between the left upper pulmonary vein and the left atrial appendage. He underwent tumor resection under cardiopulmonary bypass with superior transseptal approach. It allowed enough surgical exposure for en-bloc resection of the tumor with minimal risk of tumor embolisms. The pathological report confirmed that the tumor was a cardiac myxoma. The postoperative course was uneventful with no stroke nor embolism complications. We experienced a rare myxoma orginating from the coumadin ridge and successfully resected it with superior septal approach.
一名70岁男性，大约一年前有腔隙性卒中病史，在因骨科手术进行检查时偶然发现患有原发性心脏肿瘤。该肿瘤独特地起源于左上肺静脉和左心耳之间的柯马迪嵴。他在体外循环下采用经房间隔上入路进行了肿瘤切除术。这种入路为肿瘤的整块切除提供了足够的手术视野，且肿瘤栓塞风险最小。病理报告证实该肿瘤为心脏黏液瘤。术后过程顺利，未出现中风或栓塞并发症。我们遇到了一例罕见的起源于柯马迪嵴的黏液瘤，并成功地采用经房间隔上入路将其切除。
