Injury to the tricuspid valve and membranous atrioventricular septum caused by huge calcified right ventricular myxoma: report of a case.

Hirota J; Akiyama K; Taniyasu N; Maisawa K; Kobayashi Y; Sakamoto N; Komatsu N

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Injury to the tricuspid valve and membranous atrioventricular septum caused by huge calcified right ventricular myxoma: report of a case.

机译：巨大钙化右心室粘液瘤引起的三尖瓣和膜状房室间隔损伤：一例报告。

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A 64-year-old female, admitted because of severe dyspnea on exertion and facial edema, showed echocardiographic findings of a large tumor in the right ventricle (RV). Echocardiography revealed a cardiac mass extending from the RV across the tricuspid valve into the right atrium, synchronized with the cardiac cycle, and severe tricuspid regurgitation was apparent. The mass was removed under cardiopulmonary bypass. It measured 7 x 5 x 5 cm with diffuse superficial calcification and arose from the posterior wall of the RV, just under the tricuspid valve ring, with a short pedicle. During the same procedure, after the successful excision of the tumor, small atrial and ventricular septal defects were found that had been caused by the tumor and these were closed directly. The tricuspid valve was repaired with valvuloplasty, chordoplasty and annuloplasty. The microscopic findings were of typical myxoma; however, a right ventricular myxoma protruding into the right atrium is exceedingly rare.

机译：一名因运动和面部浮肿导致的严重呼吸困难而入院的64岁女性，在右心室（RV）的超声心动图中发现了一个大肿瘤。超声心动图显示心脏质量从RV穿过三尖瓣延伸到右心房，与心动周期同步，并且出现了严重的三尖瓣关闭不全。在体外循环下清除肿块。它的大小为7 x 5 x 5 cm，表面弥漫性钙化，从三叶瓣环下方的RV后壁升起，蒂短。在相同的过程中，成功切除肿瘤后，发现由肿瘤引起的小房间隔和心室间隔缺损，将其直接闭合。用瓣膜成形术，软骨成形术和瓣膜成形术修复三尖瓣。镜下发现为典型的粘液瘤。然而，突出于右心房的右心室粘液瘤极为罕见。

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《Circulation journal》 |2004年第8期|共3页
作者
Hirota J; Akiyama K; Taniyasu N; Maisawa K; Kobayashi Y; Sakamoto N; Komatsu N;
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正文语种 eng
中图分类心脏、血管（循环系）疾病;
关键词
Tricuspid Valve; Residual Volume; Neoplasms; findings; 三尖瓣; 残气量; 肿瘤;

机译：Tricuspid Valve;Residual Volume;Neoplasms;findings;三尖瓣;残气量;肿瘤;

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1. Injury to the tricuspid valve and membranous atrioventricular septum caused by huge calcified right ventricular myxoma: report of a case. [J] . Hirota J, Akiyama K, Taniyasu N, Circulation journal . 2004,第8期

机译：巨大钙化右心室粘液瘤引起的三尖瓣和膜状房室间隔损伤：一例报告。
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Injury to the tricuspid valve and membranous atrioventricular septum caused by huge calcified right ventricular myxoma: report of a case.

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