[Right Atrial Myxoma After Catheter Ablation:Report of a Case].

Q4 Medicine
Shuichi Okada, Masahiko Ezure, Shigeto Naito, Keiko Koyama, Yutaka Hasegawa, Yasuyuki Yamada, Joji Hoshino, Koki Nakamura, Takehito Sasaki, Hiroyuki Morishita, Masahiro Seki, Takashi Soda
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引用次数: 0

Abstract

An 81-year-old man underwent total arch replacement for thoracic aortic aneurysm 8 years ago and catheter ablation for paroxysmal atrial fibrillation 1 year ago. Transthoracic echocardiography revealed a mass in the right atrium, and the patient was admitted for close examination and treatment. Transesophageal echocardiography revealed a 23×17 mm large well-defined mass above the cavotricuspid isthmus. Two venous drainage cannulas were inserted directly to the superior vena cava and to the inferior vena cava via the right femoral vein, in order to avoid the direct contact with the right atrium prior to institution of cardiopulmonary bypass. The right atrial tumor was found attached to the cavotricuspid isthmus, and was resected together with the right atrial wall. Pathological examination showed myxomatous tissue. Postoperative course was uneventful. He was discharged 23 days after the operation.

[导管消融术后的右心房肌瘤:一例报告】。]
一名 81 岁的男子 8 年前因胸主动脉瘤接受了全弓置换术,1 年前因阵发性心房颤动接受了导管消融术。经胸超声心动图显示右心房有肿块,患者入院接受了仔细检查和治疗。经食道超声心动图显示,在腔窦峡部上方有一个 23×17 毫米的界限清楚的大肿块。为了避免在实施心肺旁路术前直接接触右心房,医生将两根静脉引流管分别经右股静脉直接插入上腔静脉和下腔静脉。发现右心房肿瘤附着在腔静脉峡部,于是连同右心房壁一起切除。病理检查显示为肌瘤组织。术后恢复顺利。术后 23 天出院。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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