Cryoablation for a right atrial myxoma arising from the Koch's triangle: a case report

Cryoablation for a right atrial myxoma arising from the Koch's triangle: a case report
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DOI:
10.1186/1749-8090-8-222
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发表时间:
2013-12-02
影响因子:
1.6
通讯作者:
Wauthy, Pierre
Wauthy, Pierre
中科院分区:
医学4区
文献类型:
--
作者:
Marinakis, Sotirios;Mircev, Dimiter;Wauthy, Pierre

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一名78岁的白人患者,心脏功能受损,表现为肺栓塞的反复发作,被转诊到我们的中心切除大量的右心房粘液瘤,从科赫三角。为了保留传导系统,我们切除粘液瘤并冷冻消融其蒂部。本病例对于讨论在这种情况下保留房室传导系统的可能性具有特殊意义,前提是当代文献没有提出具体的指南。
A 78-year-old caucasian patient with compromised cardiac function presenting recurrent episodes of pulmonary embolism was referred to our center for resection of a voluminous right atrial myxoma arising from the Koch's triangle. To preserve the conduction system, we performed an excision of the myxoma associated with cryoablation of its stalk. This case is of special interest for discussing possibilities of preservation of the atrioventricular conduction system in such situations, provided that the contemporary literature does not propose concrete guidelines.