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一例采用深低温停循环技术治疗下腔静脉黏液瘤的手术病例

A Case of Surgery for Myxoma in the Inferior Vena Cava Using Deep Hypothermic Circulatory Arrest.

作者信息

Hayama Masato, Wakamatsu Kayo, Teratani Yuko, Kunitomo Yuki, Ito Chihaya, Shimizu Masayuki, Teratani Hiromitsu, Sukehiro Yuta, Furui Masato, Sumi Mizuki, Amako Mau, Hayashida Yoshio, Kuwahara Go, Wada Hideichi

机构信息

Department of Cardiovascular Surgery, Fukuoka University Hospital, Fukuoka, Fukuoka, Japan.

Department of Cardiovascular Surgery, Hakujuji Hospital, Fukuoka, Fukuoka, Japan.

出版信息

Ann Vasc Dis. 2025;18(1). doi: 10.3400/avd.cr.24-00118. Epub 2025 Mar 25.

Abstract

We experienced a case in which a myxoma in the inferior vena cava (IVC) was surgically removed along with the IVC using deep hypothermic circulatory arrest. A 42-year-old female with no subjective symptoms was incidentally found to have a mass in the IVC at the junction of the hepatic veins on contrast-enhanced computed tomography. Ultrasonography revealed a mobile tumor attached to the junction of the hepatic veins. Surgery was performed via median sternotomy and laparotomy. Cardiopulmonary bypass and deep hypothermic circulatory arrest were utilized to safely operate.

摘要

我们遇到了一例通过深低温循环停搏手术切除下腔静脉(IVC)黏液瘤及部分下腔静脉的病例。一名42岁无症状女性在增强计算机断层扫描时偶然发现肝静脉汇合处的下腔静脉有肿物。超声检查显示一个可移动的肿瘤附着在肝静脉汇合处。手术通过正中胸骨切开术和剖腹术进行。利用体外循环和深低温循环停搏以安全地实施手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f201/11947006/29114707adfb/avd-18-1-24-00118-figure02.jpg

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