术中尿路上皮癌肿瘤血栓栓塞心脏1例。

IF 1 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Future cardiology Pub Date : 2025-10-10 DOI:10.1080/14796678.2025.2573561

Friederike I Schoettler, Mortaza Fatehi Hassanabad, Nicole A Webb, Jeffery Clark, Geoffrey Gotto, William T Kidd, Ali Fatehi Hassanabad

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引用次数: 0

摘要

尿路上皮癌（UC）很少表现为下腔静脉（IVC）肿瘤血栓。在此，我们报告了一例UC患者，在切除期间血栓栓塞到右心房。术中超声心动图发现大于4厘米的大栓子，并通过三尖瓣脱垂。经胸骨切开术切除肿瘤血栓。本病例具有以下重要的学习意义：1)肿瘤血栓在切除过程中应小心处理，因为它可以栓塞；2)术中经食管超声心动图对这些病例至关重要；3)包括心脏手术在内的多学科方法是确保最佳结果的必要条件。

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Intraoperative urothelial carcinoma tumor thrombus embolization to the heart: a case report.

Urothelial carcinoma (UC) rarely presents with an inferior vena cava (IVC) tumor thrombus. Herein, we report the case of a patient with UC in whom the thrombus embolized to the right atrium during resection. Intraoperative echocardiography identified the large embolus measuring greater than 4 cm and prolapsing through the tricuspid valve. The tumor thrombus was removed via sternotomy. This case is significant for the following learning points: 1) tumor thrombus should be managed with care during removal as it can embolize; 2) intraoperative transesophageal echocardiography is vital in these cases; and 3) a multidisciplinary approach including cardiac surgery is imperative to ensure optimal outcomes.

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来源期刊

Future cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

2.80

自引率

5.90%

发文量

期刊介绍： Research advances have contributed to improved outcomes across all specialties, but the rate of advancement in cardiology has been exceptional. Concurrently, the population of patients with cardiac conditions continues to grow and greater public awareness has increased patients" expectations of new drugs and devices. Future Cardiology (ISSN 1479-6678) reflects this new era of cardiology and highlights the new molecular approach to advancing cardiovascular therapy. Coverage will also reflect the major technological advances in bioengineering in cardiology in terms of advanced and robust devices, miniaturization, imaging, system modeling and information management issues.