复发性心房黏液瘤的根治性切除治疗和全心脏移植

Radical excisional therapy and total cardiac transplantation for recurrent atrial myxoma.

作者信息

Goldstein D J, Oz M C, Michler R E

机构信息

Department of Surgery, Columbia University, College of Physicians & Surgeons, New York, New York, USA.

出版信息

Ann Thorac Surg. 1995 Oct;60(4):1105-7. doi: 10.1016/0003-4975(95)00372-r.

DOI:10.1016/0003-4975(95)00372-r

PMID:7574960

Abstract

We describe the management of a recurrent atrial myxoma extending to the pulmonary veins and superior vena cava. Deep hypothermia and circulatory arrest with left atrial and caval excision was required to achieve complete resection of the tumor. The patient is alive and well without evidence of tumor recurrence 18 months after transplantation. Radical en bloc cardiac resection is feasible in selected cases of cardiac tumors.

摘要

我们描述了一例复发性心房黏液瘤延伸至肺静脉和上腔静脉的治疗情况。为实现肿瘤的完全切除，需要采用深低温停循环并进行左心房和腔静脉切除。该患者在移植后18个月存活且状况良好，无肿瘤复发迹象。对于某些心脏肿瘤病例，根治性整块心脏切除术是可行的。