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几乎充满升主动脉的肿块病变：何时进行手术？

Mass Lesions That Almost Fill the Ascending Aorta: When to Operate?

作者信息

Kim Ji-Yeon, Kim So-Yun, Shim Man-Shik, Park Jae-Hyeong

机构信息

Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea.

Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital, Daejeon, Korea.

出版信息

JACC Case Rep. 2021 Oct 6;3(13):1535-1540. doi: 10.1016/j.jaccas.2021.08.011.

DOI:10.1016/j.jaccas.2021.08.011
PMID:34693355
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8511472/
Abstract

Although anticoagulation can be an option for the resolution of thrombus, surgical removal is a definite treatment for removing mass lesions, especially in patients with unknown pathology. The present case report demonstrates the surgical removal of a sarcoma of the ascending aorta after the failure of anticoagulation. ().

摘要

尽管抗凝治疗可作为溶解血栓的一种选择，但手术切除是去除肿块性病变的明确治疗方法，尤其是对于病理情况不明的患者。本病例报告展示了在抗凝治疗失败后对升主动脉肉瘤进行手术切除的情况。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbbd/8511472/42c43e19f8a0/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbbd/8511472/7206c71c3eee/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbbd/8511472/3180031b728b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbbd/8511472/a382831be725/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbbd/8511472/678c838c185a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbbd/8511472/e0b267cae2a0/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbbd/8511472/42c43e19f8a0/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbbd/8511472/7206c71c3eee/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbbd/8511472/3180031b728b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbbd/8511472/a382831be725/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbbd/8511472/678c838c185a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbbd/8511472/e0b267cae2a0/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbbd/8511472/42c43e19f8a0/gr5.jpg

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本文引用的文献

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PET/CT Variants and Pitfalls in Bone and Soft Tissue Sarcoma.正电子发射断层扫描/计算机断层扫描（PET/CT）在骨与软组织肉瘤中的变异与陷阱。
Semin Nucl Med. 2021 Nov;51(6):584-592. doi: 10.1053/j.semnuclmed.2021.06.009. Epub 2021 Jul 6.
2
A Large Floating Thrombus in the Ascending Aorta: to Treat or not to Treat?升主动脉内的巨大漂浮血栓：治疗还是不治疗？
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Two Cases of Protruding Thrombus in the Ascending Aorta.升主动脉内突出血栓两例。
Ann Vasc Dis. 2021 Mar 25;14(1):64-67. doi: 10.3400/avd.cr.20-00155.
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Unusual complication of late presentation deceleration aortic injury.迟发性减速型主动脉损伤的罕见并发症。
Echocardiography. 2021 Apr;38(4):701-704. doi: 10.1111/echo.15023. Epub 2021 Mar 16.
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Predictors of survival in malignant aortic tumors.恶性主动脉肿瘤的生存预测因素。
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Intimal aortic sarcoma mimicking ruptured thoracoabdominal type IV aneurysm. A rare case report and review of the literature.酷似胸腹型IV型动脉瘤破裂的主动脉内膜肉瘤。一例罕见病例报告及文献复习。
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Primary aortic sarcoma with widespread vascular embolic metastases.
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