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从一名4岁儿童身上切除巨大心脏纤维瘤。

Removal of a giant cardiac fibroma from a 4-year-old child.

作者信息

Busch U, Kampmann C, Meyer R, Sandring K H, Hausdorf G, Konertz W

机构信息

Department of Cardiac Surgery, Humboldt-University, Berlin, Germany.

出版信息

Tex Heart Inst J. 1995;22(3):261-4.

PMID:7580366
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC325263/
Abstract

In an 8-month-old infant presenting with a systolic heart murmur, a cardiac tumor was diagnosed by means of 2-dimensional echocardiography, cardiac catheterization, and magnetic resonance imaging. In the following years, the child developed ventricular arrhythmias, which were controlled with antiarrhythmic drugs. The operation was undertaken when the boy was 4 years and 3 months of age. A tumor of the interventricular septum measuring 45 x 13 x 25 mm was resected in toto. The defect in the ventricular septum was closed with a Dacron patch. The postoperative course was uneventful. Histologic examination classified the tumor as a fibroma.

摘要

一名8个月大的婴儿因收缩期心脏杂音就诊,通过二维超声心动图、心导管检查和磁共振成像诊断为心脏肿瘤。在接下来的几年里,该患儿出现室性心律失常,通过抗心律失常药物得以控制。患儿4岁3个月时接受了手术。完整切除了一个大小为45×13×25mm的室间隔肿瘤。用涤纶补片封闭室间隔缺损。术后过程顺利。组织学检查将肿瘤分类为纤维瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f471/325263/d7cda569251a/thij00034-0063-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f471/325263/388e8356b263/thij00034-0062-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f471/325263/1a4b96d0904c/thij00034-0062-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f471/325263/d7cda569251a/thij00034-0063-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f471/325263/388e8356b263/thij00034-0062-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f471/325263/1a4b96d0904c/thij00034-0062-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f471/325263/d7cda569251a/thij00034-0063-a.jpg

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引用本文的文献

1
Giant cardiac fibroma: an unusual cause of failure to thrive.巨大心脏纤维瘤:生长发育迟缓的罕见病因。
Pediatr Cardiol. 2013 Jun;34(5):1264-6. doi: 10.1007/s00246-012-0374-9. Epub 2012 May 30.
2
Literature survey on epidemiology and pathology of cardiac fibroma.心脏纤维瘤的流行病学和病理学文献综述。
Eur J Med Res. 2012 Mar 27;17(1):5. doi: 10.1186/2047-783X-17-5.
3
Left ventricular cardiac fibroma in a child presenting with ventricular tachycardia.一名儿童左心室心脏纤维瘤伴室性心动过速。

本文引用的文献

1
Successful excision of a left ventricular hamartoma. Report of a case.成功切除左心室错构瘤。病例报告。
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Successful excision of an intramural fibroma of the left ventricle.
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Interventricular fibroma. Echocardiographic diagnosis and successful surgical removal in infancy.室间隔纤维瘤。婴儿期的超声心动图诊断及手术成功切除
Br Heart J. 1983 Dec;50(6):590-1. doi: 10.1136/hrt.50.6.590.
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Ann Thorac Surg. 1990 Sep;50(3):471-2. doi: 10.1016/0003-4975(90)90501-v.
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Cardiac fibroma. Long-term fate after excision.心脏纤维瘤。切除后的长期转归。
J Thorac Cardiovasc Surg. 1992 Jan;103(1):140-5.
10
Pathology of surgically excised primary cardiac tumors.手术切除的原发性心脏肿瘤的病理学
Mayo Clin Proc. 1992 Oct;67(10):957-65. doi: 10.1016/s0025-6196(12)60926-4.