Kouzu S, Fujii N, Shinohara M, Sode Y, Yoshioka J, Akahane K, Tozuka N, Sawaki S
Department of Cardiovascular Surgery, Nagano Red Cross Hospital, Japan.
Kyobu Geka. 1993 Apr;46(4):359-62.
A case of a 72-year-old female with obstruction of LAD, stenosis of RCA, aortic regurgitation in moderate degree and an anterior mediastinal mass of 7 cm in diameter, is reported. Coronary artery bypass grafting, aortic valve replacement and thymectomy were simultaneously performed. On microscopic examination, the tumor was diagnosed as a mixed typed thymoma in the first stage of Masaoka's classification. She was making satisfactory progress without recurrence, after the operation. There was no case has been reported previously in the world in which simultaneous operations were performed for angina pectoris, aortic regurgitation and thymoma.
报告了一例72岁女性患者,其左前降支阻塞、右冠状动脉狭窄、中度主动脉瓣反流,且前纵隔有一个直径7厘米的肿块。同时进行了冠状动脉搭桥术、主动脉瓣置换术和胸腺切除术。显微镜检查显示,该肿瘤被诊断为Masaoka分期第一期的混合型胸腺瘤。术后她恢复良好,无复发。此前世界上尚无同时针对心绞痛、主动脉瓣反流和胸腺瘤进行手术的病例报道。