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[左心房黏液瘤的双重复发。附病例报告]

[Double recurrence of myxoma of the left atrium. Apropos of a case].

作者信息

Alami A, Drissi Kacemi A, Chikaoui Y, Boumzebra D, Fares M, Rahali M, Belhaj S, Slaoui A, Maazouzi W

机构信息

Service de Chirurgie Cardio-Vasculaire, Hôpital Ibn Sina, RABAT Maroc.

出版信息

Ann Cardiol Angeiol (Paris). 1996 Dec;45(10):585-7.

PMID:9033697
Abstract

Multiple recurrences of cardiac myxomas are rare and high-light the problem of re-operation. We report a case of double recurrence of left atrial myxoma and analyse the causes of recurrence. In our case, the first myxoma was inserted in the left inter-atrial septum, and the first recurrent tumor was inserted near the pulmonary vein, forming adhesion with the inter-atrial septum. The second recurrent tumor was inserted in the inter-atrial septum. The first operation resected the tumor, including part of the inter-atrial septum, and the sides of the septum were sutured. The two following operations used a patch for the septoplasty. This case is sporadic and not included in the high risk myxoma recurrence syndrome. Incomplete tumor resection is incriminated in one third of recurrences but seems unlikely in our case.

摘要

心脏黏液瘤多次复发较为罕见,凸显了再次手术的问题。我们报告一例左心房黏液瘤双复发的病例,并分析复发原因。在我们的病例中,首个黏液瘤位于左心房隔,首个复发性肿瘤位于肺静脉附近,与心房隔形成粘连。第二个复发性肿瘤位于心房隔。首次手术切除了肿瘤,包括部分心房隔,并缝合了隔的两侧。随后的两次手术使用补片进行房间隔成形术。该病例为散发性,不包括在高风险黏液瘤复发综合征中。三分之一的复发归咎于肿瘤切除不完全,但在我们的病例中似乎不太可能。

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