Department of Cardiovascular Surgery, Fukuyama Cardiovascular Hospital, Fukuyama, Hiroshima, Japan
Department of Cardiovascular Surgery, Fukuyama Cardiovascular Hospital, Fukuyama, Hiroshima, Japan.
BMJ Case Rep. 2023 Dec 9;16(12):e253905. doi: 10.1136/bcr-2022-253905.
A woman in her 60s was brought to the previous hospital with respiratory distress. She was referred for the treatment of severe cardiac dysfunction and a mobile mass in the left ventricle. Echocardiography revealed the mass to be of 20×11 mm in size, mobile and slightly attached to the left ventricle by a stalk. As MRI had already revealed a small cerebral infarction, we have decided to perform emergency thrombectomy of the left ventricle. As the left ventricular contractility was diffusely impaired, we were able to remove the mass without any residuals using a transseptal approach without a left ventricular incision using a three-dimensional microscope system. The pathological diagnosis of the mass was thrombus, and subsequent close examination led to the diagnosis of cardiac sarcoidosis. We report the surgical technique and removal of a left ventricular thrombus complicated by cardiac sarcoidosis.
一位 60 多岁的女性因呼吸窘迫被送往前一家医院。她因严重的心脏功能障碍和左心室活动性肿块被转来接受治疗。超声心动图显示肿块大小为 20×11 毫米，可移动，并且通过一个柄部轻微附着在左心室上。由于 MRI 已经显示出一个小的脑梗死，我们决定对左心室进行紧急血栓切除术。由于左心室收缩功能普遍受损，我们能够使用三维显微镜系统通过经房间隔途径在不进行左心室切开的情况下将肿块完全清除。肿块的病理诊断为血栓，随后的仔细检查导致心脏结节病的诊断。我们报告了一种左心室血栓合并心脏结节病的手术技术和清除方法。
