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[成年患者左心室纤维瘤的成功切除]

[Successful excision of a left ventricular fibroma in an adult patient].

作者信息

Inamura S, Iwasaki M, Koide S, Shohtsu A, Kanemoto N

机构信息

First Department of Surgery, Tokai University School of Medicine, Kanagawa, Japan.

出版信息

Kyobu Geka. 1993 Jul;46(7):626-9.

PMID:8336444
Abstract

A 48-year-old woman with negative T waves in leads I, a VL and V4-6 in the ECG was examined. The cross-sectional echography and the MRI revealed that she had a tumor in the free wall of the left ventricle. Under the cardiopulmonary bypass, the intramural fibroma (6 by 6 by 4 cm) of the left ventricle was resected and the defect was repaired by sutures of the outer myocardial layers to keep the left ventricular volume. Forty eight days after the initial operation, a reoperation was performed by interrupted sutures of the whole myocardial layers. She is doing well without any troubles 14 months after the reoperation.

摘要

对一名48岁女性进行了检查,其心电图I、aVL及V4 - 6导联T波倒置。超声心动图和磁共振成像显示她左心室游离壁有一个肿瘤。在体外循环下,切除了左心室壁内纤维瘤(6×6×4厘米),并通过缝合外层心肌来修复缺损以维持左心室容积。初次手术后48天,通过间断缝合全层心肌进行了再次手术。再次手术后14个月,她情况良好,没有任何问题。

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