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采用低温循环停止和肺动脉静脉插管技术成功手术治疗右心房黏液瘤。

Successful surgical treatment of a right atrial myxoma with hypothermic circulatory arrest and venous cannulation in pulmonary artery.

作者信息

Miki Takao, Ohki Satoshi, Yamaguchi Ryo, Nagasawa Ayako, Okonogi Shuichi, Yasuhara Kiyomitsu, Obayashi Tamiyuki

机构信息

Department of Cardiovascular Surgery, Isesaki Municipal Hospital, Isesaki, Gunma 372-0817, Japan.

出版信息

J Surg Case Rep. 2024 Oct 28;2024(10):rjae677. doi: 10.1093/jscr/rjae677. eCollection 2024 Oct.

Abstract

Myxomas are the most common type of benign cardiac tumors, and the right atrium is the second most common location among them, with an incidence ranging from 8.6% to 20% of all cardiac myxomas. Herein, we described a rare case of right atrial myxoma originating from the inferior vena cava orifice. In this case, main pulmonary artery cannulation and moderate hypothermic circulatory arrest were helpful to obtain a clear and simple view of the operative field without blood, which led to complete resection of the tumor with safety and better outcomes with no future recurrence.

摘要

黏液瘤是最常见的良性心脏肿瘤类型,右心房是其中第二常见的发病部位,在所有心脏黏液瘤中的发病率为8.6%至20%。在此,我们描述了一例罕见的起源于下腔静脉口的右心房黏液瘤病例。在该病例中,主肺动脉插管和中度低温循环骤停有助于在无血的情况下获得清晰、简单的术野视野,从而安全地完整切除肿瘤,并取得更好的预后且无复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40be/11520226/990233c08d78/rjae677f1.jpg

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