Yasuoka T, Miyamoto T, Murata H, Maeda S, Yamashita K, Yao H
Department of Thoracic and Cardiovascular Surgery, Hyogo College of Medicine, Nishinomiya, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1993 Sep;41(9):1515-21.
A successful surgical treatment of intracardiac rhabdomyoma in a 12-day-old female is reported. The neonate was first noted to have a cardiac murmur and she was diagnosed cardiac tumor by two dimensional echocardiography. It showed multiple cardiac tumors which occupied the right ventricular outflow tract and interventricular septum. Under the routine cardiopulmonary bypass the tumor of the right ventricular outflow tract was removed. Histological examination revealed a rhabdomyoma. Follow-up evaluation 7 years after operation showed normal growth and development of the patient. A repeated two dimensional echocardiogram revealed no sign of recurrence and the left ventricular cavity was not obstructed by the residual tumor in the interventricular septum. We reviewed 10 cases treated surgically in infancy including three neonate in Japan.
报道了一例成功手术治疗12日龄女性心脏横纹肌瘤的病例。该新生儿最初被发现有心脏杂音，经二维超声心动图诊断为心脏肿瘤。检查显示多个心脏肿瘤占据右心室流出道和室间隔。在常规体外循环下，切除了右心室流出道的肿瘤。组织学检查显示为横纹肌瘤。术后7年的随访评估显示患者生长发育正常。再次二维超声心动图检查未发现复发迹象，室间隔残余肿瘤未阻塞左心室腔。我们回顾了10例婴儿期手术治疗的病例，其中包括日本的3例新生儿。
