孕妇左心房黏液瘤的处理：病例系列。
Management of left atrial myxoma in pregnant women: a case series.
机构信息
Department of Obstetrics, Guangdong Provincial People's Hospital(Guangdong Academy of Medical Sciences), Southern Medical University, No. 106 Zhongshan 2nd road, Guangzhou, 510080, Guangdong, China.
Prenatal Diagnosis Center, Guangdong Provincial People's Hospital(Guangdong Academy of Medical Sciences), Southern Medical University, No. 106 Zhongshan 2nd road, Guangzhou, 510080, Guangdong, China.
出版信息
J Cardiothorac Surg. 2024 Apr 10;19(1):197. doi: 10.1186/s13019-024-02747-2.
BACKGROUND
Left atrial myxoma during pregnancy is rare. We present three cases in order to aid in the management.
CASE PRESENTATION
Three cases of left atrial myxoma during pregnancy were presented in this article. Three patients all received multidisciplinary team work and acquired good outcomes. The case 1 had no symptoms and delivered before traditional cardiac surgery. The case 2 and case 3 undergone totally endoscopic minimally invasive cardiac surgery during pregnancy. The case 3 maintained pregnancy to term and gave birth to a healthy baby via vaginal delivery. No relapse of the tumor was observed.
CONCLUSIONS
The management of left atrial myxoma during pregnancy ought to be individualized and combined with the gestational age. If the diagnosis was made in the first two trimesters of pregnancy, totally endoscopic minimally invasive cardiac surgery during pregnancy would be an optimal choice. The patients can benefit from the multidisciplinary team work.
背景
妊娠期间左心房黏液瘤较为罕见。我们报告了三例病例以辅助临床管理。
病例介绍
本文报告了三例妊娠期间左心房黏液瘤患者。三例患者均接受了多学科团队协作治疗，取得了良好的结局。病例 1 无症状并在传统心脏手术前分娩。病例 2 和病例 3 在妊娠期间接受了完全内镜下微创心脏手术。病例 3 妊娠至足月并经阴道分娩了一名健康婴儿。肿瘤无复发。
结论
妊娠期间左心房黏液瘤的处理应个体化，并结合妊娠龄。如果在妊娠前 2 个孕周期诊断，妊娠期间完全内镜下微创心脏手术是一个较好的选择。患者可从多学科团队协作中获益。
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