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The tumor grows from the abdominal cavity to the heart! Recently, Ms. Ding, 46, experienced a thrilling stay in hospital...
. The rare huge swelling in the heart
"occupying" the right atrium up to 90%
it is understood that six months ago, Ms. Ding appeared under the abdominal swelling pain, recently, Ms. Ding in the morning stool after sudden dizziness, breathing difficulties, the local county hospital diagnosis prompted the cavity veins high echo, consider the possibility of tumor thrombosis, recommended to the Central South University Xiangya II Hospital. Further examination revealed that the tumor had grown into the heart and that the right atrium was accounted for up to 90%.
August 23, the patient arrived at The Central South University Xiangya II Hospital emergency department immediately into the rescue area, the Medical Department immediately organized the whole hospital general consultation, that the patient must be treated as soon as possible, the party may be life-saving.
, the hospital immediately set up a multidisciplinary team for difficult surgery MDT. On August 26th, Emergency Surgery invited experts such as Professor Li Quanming of Vascular Surgery, Professor Song Guobao of Cardiovascular Surgery, Associate Professor Xia Xiaomeng of Obstetrics and Gynecology, Associate Professor Li Yajun of Radiology, Associate Professor Zhu Wei of Anesthesiology, Director of The Department of Blood Transfusion Wang Yongjun, Director of the Operating Room Liu Weihong, etc., to conduct a comprehensive assessment of the patients.
experts unanimously diagnosed ovarian vascular smooth fibroids, which have invaded the heart, hertre, lower cavity veins, and conducted detailed surgical protocol discussions and various contingency plans.
surgery complex difficult
multidisciplinary efforts to successfully remove
it is learned that Ms. Ding six years ago in the county hospital to do uterine fibroid removal surgery, when the operation found that the lower cavity veins tired, but did not deal with. At present, extended to the lower cavity veins and right atrium, its lesions are long, wide range, the heart inoma has reached 4x8cm, occupying the right atrium up to 90%, while tired of three tip lobes, in the country and even the world is rare.
considering that the tri-tip valve is already blocked and at any time at risk of sudden death, the complete removal of the tumor is the key to successful treatment. At the same time, the gynecological annex and its tumor removal, in order to prevent smooth fibroid recurrence, and strive for good long-term efficacy.
due to the complexity of surgery, high risk, patients at any time in the operation of life-threatening situation, for this need to play the advantages of multidisciplinary collaboration, the combination of multidisciplinary experts.
difficulties before the experts, but the brave hospital did not flinch. Professor Deng Yuwen, Professor Li Quanming and Professor Song Guobao of Xiangya II Hospital, Central South University, said: "No matter how difficult, as long as we can treat patients, we will spare no effort." "
after a full assessment of the general situation of patients, the Medical Department organized emergency surgery, vascular surgery, cardiovascular surgery, obstetrics and gynecology, anesthesiology, operating theatre, blood transfusion department and other the strongest strength of the hospital to challenge this very difficult operation.multidisciplinary joint efforts to remove the tumor
August 28, the patient received a treatment of the first-stage surgery, anesthesiology, gynecology, vascular surgery, cardiovascular surgery and other departments of experts after 6 hours of multidisciplinary "relay" surgery, successfully removed the patient's atrial tumor, and for the patient to repair the three-tip valve function, the patient sent to the central ICU for further postoperative observation and treatment. As of the draft, the patient's will clear vital signs stable, chest tightness disappeared, can be transferred to the general ward in the near future. (He Hao Ma Mingdan/ Wen)
related reading: What is intravascular smooth fibroid disease?
intravascular smooth fibroid disease is a rare benign tumor of the uterine embryo, also known as intrauterine smooth fibroid disease, named for the vein or lymphatic tube, is mostly thought to originate from uterine fibroids on the endovascular system, but also is thought to originate from the uterine smooth muscle or pelvic and uterine vein wall of smooth muscle tissue.
the disease occurs in women, and most lying in premenopausal middle-aged women, many have a history of pregnancy. Some patients may be asymptomatic, individual patients have fainting or sudden death, mostly due to changes in tumor position, blocking in the trinosic valve or pulmonary artery caused.
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