巨大心外膜囊肿侵蚀左心室壁与单纯心外膜囊肿相似

IF 1.1 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Kishore Gupta, Dhiren Shah, D. Naik, A. Chandan, Chintan Sheth, Gautam Shah
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引用次数: 1

摘要

心外膜囊肿是较心包囊肿少见的良性肿瘤。关于心外膜囊肿的手术治疗的报道很少。一个17岁的血压正常的男孩表现为胸痛和心悸,经评估发现是纵隔肿块(心包囊肿)。计划通过开胸手术切除囊肿。术中诊断为心外膜囊肿。然而,由于囊肿起源于心外膜和后部粘连,我们通过中线入路切除。基底由内脏心包形成,并侵蚀至左心室心肌,因此切除以无泵手术结束。对于复杂的心外膜囊肿(侵蚀入心室/靠近重要结构或靠近冠状动脉),应考虑采用更安全的中线入路和有泵手术,以替代微创入路。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Giant Epicardial Cyst Eroding Left Ventricular Wall Mimicking as Simple Pericardial Cyst
Epicardial cysts are rarer benign tumors than pericardial cysts. There have been few reports on surgical management of epicardial cysts. A 17-year-old normotensive boy presented with chest pain and palpitations, which on evaluation was found to be a mediastinal mass (pericardial cyst). Surgical resection of the cyst via thoracotomy was planned. The cyst was diagnosed as an epicardial cyst intraoperatively. However, due to the epicardial origin of cyst and posterior adhesions, resection was done via midline approach. The base was formed by visceral pericardium and eroding into myocardium of left ventricle, so the resection was concluded with on-pump surgery. In case of erroneous diagnosis or undesirable finding, a safer midline approach with on-pump surgery, as an alternative to minimally invasive approach for complicated epicardial cysts (erosion into ventricle/lying in close proximity to important structures or near to coronary arteries) should be considered.
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来源期刊
Revista Brasileira De Cirurgia Cardiovascular
Revista Brasileira De Cirurgia Cardiovascular CARDIAC & CARDIOVASCULAR SYSTEMS-SURGERY
CiteScore
2.10
自引率
0.00%
发文量
176
审稿时长
20 weeks
期刊介绍: Brazilian Journal of Cardiovascular Surgery (BJCVS) is the official journal of the Brazilian Society of Cardiovascular Surgery (SBCCV). BJCVS is a bimonthly, peer-reviewed scientific journal, with regular circulation since 1986. BJCVS aims to record the scientific and innovation production in cardiovascular surgery and promote study, improvement and professional updating in the specialty. It has significant impact on cardiovascular surgery practice and related areas.
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