Soeda T, Matsuda M, Fujioka Y, Doui K, Maruhashi H
Department of Cardiovascular Surgery, Matsue Red Cross Hospital, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1996 Sep;44(9):1781-6.
Bronchogenic cysts of the heart are extremely rare neoplasma comprising only 1.3% of all the primary cardiac and pericardial tumors. We experienced a case of bronchogenic cyst originated in the interatrial septum that caused the marked swelling of the septum. An asymptomatic woman of 43 years of age was evaluated because of cardiac enlargement on the chest X-ray film. The examinations including cardiac catheterization indicated a left atrial tumor broadly based on the atrial septum. Surgical removal was attempted, and the tumor was revealed to be a cyst involving the whole atrial septum. The histological diagnosis was bronchogenic cyst. The surgery included resection of the cyst together with the septum that was reconstructed with Dacron patch. Postoperative course was smooth, and the patient has returned to normal daily life without any sign of recurrence for two years.
心脏支气管源性囊肿是极为罕见的肿瘤,仅占所有原发性心脏和心包肿瘤的1.3%。我们遇到一例起源于房间隔的支气管源性囊肿,导致该间隔明显肿胀。一名43岁无症状女性因胸部X线片显示心脏增大而接受评估。包括心导管检查在内的各项检查表明,有一个广泛附着于房间隔的左心房肿瘤。尝试进行手术切除,结果发现该肿瘤是一个累及整个房间隔的囊肿。组织学诊断为支气管源性囊肿。手术包括切除囊肿以及用涤纶补片重建间隔。术后过程顺利,患者已恢复正常日常生活,两年内无任何复发迹象。