Steinberg Zachary L, Elison David, Vincent Logan L, Oxorn Donald, McCabe James M
Division of Cardiology, Department of Medicine, University of Washington Medical Center, Seattle, Washington, USA.
Providence Heart and Vascular Institute, Providence St. Vincent Medical Center, Portland, Oregon, USA.
JACC Case Rep. 2023 Mar 15;10:101758. doi: 10.1016/j.jaccas.2023.101758.
The removal of intramyocardial masses has long been thought of as a surgical procedure and is generally reserved for patients with obstructive symptoms when the mass is thought to be benign. Thus, many patients who are incidentally diagnosed with intracardiac masses are either subjected to protracted follow-up with serial imaging awaiting tumor growth before surgical excision is ultimately offered. We report a novel procedure in which a 54-year-old man with an atrial myxoma underwent successful percutaneous resection using electrosurgery followed by removal with a novel endovascular retrieval system. This approach provides an alternative to either surgical excision or watchful waiting in patients with small- to medium-sized intracardiac tumors. ().
长期以来，心肌内肿块的切除一直被视为一种外科手术，通常适用于肿块被认为是良性但出现梗阻症状的患者。因此，许多偶然诊断出心脏内肿块的患者要么接受长期的连续影像学随访，等待肿瘤生长后最终进行手术切除。我们报告了一种新的手术方法，一名患有心房黏液瘤的54岁男性患者通过电外科手术成功进行了经皮切除，随后使用一种新型血管内取出系统将其取出。这种方法为中小型心脏内肿瘤患者提供了手术切除或密切观察等待之外的另一种选择。
