Department of Cardiovascular Surgery, Hitachi General Hospital, Hitachi, Japan.
Interact Cardiovasc Thorac Surg. 2022 Jul 9;35(2). doi: 10.1093/icvts/ivac081.
We report the rare case of a 48-year-old woman with a cardiac intimal sarcoma occupying the mitral valve and the left atrial roof. We resected the tumour in one block without residual lesions. The anterior mitral annulus and left atrial roof were serially repaired with the bovine pericardium, and a mechanical prosthesis was implanted in the reconstructed mitral annulus. The patient remains alive without recurrence for more than 1 and a half years postoperatively. We performed radical surgery for a mitral valve intimal sarcoma, and serial patch repair of the anterior mitral annulus and left atrial roof was a useful technique.
我们报告了一例罕见的 48 岁女性心脏内膜肉瘤，该肉瘤占据二尖瓣和左心房顶部。我们整块切除肿瘤，无残留病变。采用牛心包连续修复二尖瓣前瓣环和左心房顶部，在重建的二尖瓣瓣环中植入机械假体。患者术后 1 年半以上无复发，仍存活。我们对二尖瓣内膜肉瘤进行了根治性手术，二尖瓣前瓣环和左心房顶部的连续补丁修复是一种有用的技术。
