Kocher Matthew, Scarlata Maria, Capuano Paolo, Bonicolini Eleonora, Piacentini Alberto, Asaro Pamela, Morsolini Marco, Panarello Giovanna, Burgio Gaetano, Pilato Michele
Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA USA.
Department of Anesthesia and Intensive Care, IRCCS-ISMETT, UPMC, Palermo, Italy.
Ann Card Anaesth. 2025 Jan 1;28(1):65-68. doi: 10.4103/aca.aca_69_24. Epub 2024 Nov 19.
Cardiac myxomas extending from the right ventricle are uncommon and this rare condition is potentially associated with several risks and poor outcomes. We report the case of a patient with a right ventricular myxoma who had a recent haemorrhagic stroke due to an arteriovenous malformation. The preoperative and intraoperative managements were challenging and required several difficult choices by the medical team and consequently, a multidisciplinary approach and a benefit-risk evaluation were necessary to determinate timely surgical resection in an urgent situation, simultaneously avoiding delayed or improper treatments, achieving a successful outcome in a very high-risk situation.
起源于右心室的心脏黏液瘤并不常见，这种罕见情况可能伴有多种风险且预后不佳。我们报告了一例右心室黏液瘤患者，该患者近期因动静脉畸形发生了出血性中风。术前和术中管理颇具挑战性，医疗团队需要做出多项艰难抉择，因此，采用多学科方法并进行获益风险评估对于在紧急情况下及时确定手术切除至关重要，同时要避免延迟或不当治疗，在极高风险情况下取得成功的治疗结果。
