渐进式手术治疗左心室纤维瘤。

Q4 Medicine
Chellasamy Rajeev Thilak, Wahi Pritja, Rezaei Mohammad, Cusimano Robert, Ansari Bilal
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引用次数: 0

摘要

心脏纤维瘤是罕见的良性心肌肿瘤,最常见于婴儿和儿童。青少年的表现不常见,但由于相关的心律失常风险,临床意义重大。我们报告一例年轻女性谁提出晕厥和随后被诊断为左心室纤维瘤的心脏磁共振成像(MRI)。肿瘤位于乳头肌附近。手术切除通过左心室切开术进行,小心避免二尖瓣扭曲。本视频教程演示了左心室纤维瘤的手术入路,这是一种明确的治疗方法,旨在减轻与这些肿瘤相关的危及生命的致心律失常风险,同时保留二尖瓣。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Stepwise surgical approach to left ventricular fibroma.

Cardiac fibromas are rare benign myocardial tumours, most commonly detected in infants and children. Presentations in adolescents are uncommon but clinically significant due to the associated arrhythmic risk. We report a case of a young female who presented with syncope and was subsequently diagnosed with a left ventricular fibroma on cardiac magnetic resonance imaging (MRI). The tumour was located near the papillary muscles. Surgical excision was performed via a left ventriculotomy, carefully avoiding distortion of the mitral valve. This video tutorial demonstrates the surgical approach to an left ventricular fibroma, a definitive treatment aimed at mitigating the life-threatening arrhythmogenic risks associated with these tumours, while preserving the mitral valve.

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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
60
期刊介绍: The Multimedia Manual of Cardio-Thoracic Surgery (MMCTS) is produced by The European Association for Cardio-Thoracic Surgery (EACTS). MMCTS is the world’s premier video-based educational resource for cardiovascular and thoracic surgeons; freely accessible - and essential - for all. MMCTS was launched more than ten years ago under the leadership of founding editor Professor Marko Turina. It was Professor Turina’s vision that the European Association for Cardio-Thoracic Surgery (EACTS), already the world-leader in CT surgery education, should take advantage of the Internet’s rapidly improving video publication capabilities and create a new step-by-step manual of surgical procedures. Professor Turina and EACTS agreed that the manual, MMCTS, should be freely accessible to all users, regardless of association membership status, nationality, or affiliation. MMCTS was self-published by EACTS for some years before being transferred to Oxford University Press, which hosted it until the end of 2016. In November 2016, the Manual returned home to EACTS and it has now relaunched in a completely new format. Since its birth in 2005, MMCTS has published some 400 detailed, video-based demonstrations of cardio-thoracic surgical procedures. Tutorials published prior to 2012 have been archived and we are working with the authors of these tutorials to update their work pending republication on the new site. Our mission is to make MMCTS the best online reference for cardio-thoracic surgeons – residents and experienced surgeons alike. Our aim is to include tutorials presenting procedures at both a fundamental and an advanced level. Truly innovative procedures are also included and are identified as such.
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