• Journal of Chest Surgery
• /
• 제28권4호
• /
• pp.412-415
• /
• 1995

Primary cardiac tumors are extremely rare and about 20-25% of primary cardiac tumors are malignant. Recently we have experienced a case of primary cardiac rhabdomyosarcoma originated on the right atrial wall. Patient was 41 years-old women and chief complaints were pitting edema and exertional dyspnea. Emergency operation was performed to relieve symptoms by pericardial effusion that hac been seen on the echocardiogram and large soft mass in right atrial cavity on the MRI. About 700ml amounts of bloody pericardial effusion was collected into the pericardial cavity. 4X5X5 cm sized ingrowing soft mass in the right atrial cavity and two small sized outgrowing masses were inspected. A tumor was invaded into the SA node and superior limbic portion of fossa ovalis. And then mass & right atrial free wall was resected but areas of SA node and fossa ovalis were not resected. Defect of right atrial wall was reconstruced with bovine patch. She was discharged after 2 weeks without any problems and she has been treated with chemotherapy.

• Journal of Chest Surgery
• /
• 제37권5호
• /
• pp.448-451
• /
• 2004

개심술 후 폐색전증을 동반한 우심방 혈전의 발생 예는 매우 드물다. 10개월 전 심방중격결손 수술을 받았던 54세 여자 환자가 좌측 흉막통과 호흡곤란을 주소로 응급실에 내원하였다. 폐관류주사 검사에서 다발성 분절성 관류 결손 소견을 보였고 경식도 초음파 검사에서 우심방 벽에 위치하는 크고 줄기가 있는 움직이는 종괴가 발견되었다. 헤파린 치료 시작 13일 후 시행한 심초음파 검사에서 크기가 전혀 줄어들지 않아 개심술하에 종괴를 제거하였다. 병리 소견에서 우심방 기질성 혈전으로 밝혀졌고, 수술 후 환자는 별 문제 없이 회복되었으며 퇴원 후 와파린 치료를 받고 있다.

• Journal of Chest Surgery
• /
• 제36권8호
• /
• pp.606-609
• /
• 2003

혈전성 뇌경색에 의한 실어증으로 70세 남자 환자가 입원하여 혈전에 대한 원인을 조사하던 중 경식도 초음파검사와 흉부 자기공명영상에서 혈류가 없는 우심방의 낭성종양으로 진단되었다. 종양은 균질성으로 혈전보다는 종양(점액종)으로 의심되었다. 종양은 심방중격의 일부와 함께 정상 체온 체외순환 상태에서 제거되었고 조직학적으로 피가 고여 있는 폐쇄성 심방중격류로 판명되었다. 이에 문헌 고찰과 함께 한 드문 증례를 보고하는 바이다.

• Journal of Yeungnam Medical Science
• /
• 제16권1호
• /
• pp.119-124
• /
• 1999

저자들은 우상복부 동통을 주소로 영남대학교 의과대학 부속병원 내과에 내원한 49세 여자 환자가 전산화 단총 촬영과 간동맥 조영술로 간세포암을 진단받은 후 간동맥 색전술로 치료받고 추적 관찰하던 중심초음파로 확인된 우심방 종괴를 진단받은 임상 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

• Journal of Chest Surgery
• /
• 제40권4호
• /
• pp.301-304
• /
• 2007

33세 남자가 심와부 불편감을 주소로 내원하여 흉부컴퓨터단층촬영과 심초음파에서 좌심방 내 점액 종으로 수술적 절제하였다. 12개월 후 외래추적 검사에서 첫 번째 수술과 관계없는 부위인 우심방 내 점액종이 발견되어 재수술하였으며 10개월간 재발 없이 지내고 있다. 우리나라에서는 좌심방 내 점액종 제거 후 재발된 좌심방 내 점액종은 보고된 적이 있지만, 우심방에 재발된 경우는 보고된 바가 없어 치험례를 보고한다.

• Journal of Chest Surgery
• /
• 제44권3호
• /
• pp.243-246
• /
• 2011

A 43-year-old woman was diagnosed with an intravenous leiomyomatosis at a previous hospital and transferred to our hospital to undergo surgical treatment. Emergency one-stage operation for coincidental removal of intra-abdominal, right atrial, and intravenous masses were planned. Upon arriving at the operating room, she suffered a sudden onset of severe dyspnea and showed hemodynamic instability. Intraoperative TEE showed pulmonary embolization of a right atrial mass. Removal of the pulmonary artery mass and the intra-abdominal mass, and the cardiopulmonary bypass were performed without any complications.

• Journal of Chest Surgery
• /
• 제40권2호
• /
• pp.132-135
• /
• 2007

정상 심장에서의 우심방 혈전은 매우 드문 질환이다. 흉부 불편감과 호흡곤란을 주소로 내원한 66세 여자가 심장 초음파와 흉부 전산화 단층촬영에서 우심방 점액종으로 진단되었다. 종괴가 붙어 있는 심방 중격을 포함해 절제를 시행하였고 조직검사상 조직화된 우심방 혈전으로 진단되어 문헌 고찰과 함께 보고하는 바이다.

• 한국임상수의학회지
• /
• 제34권6호
• /
• pp.478-480
• /
• 2017

A Cocker spaniel (7-year-old, female) was presented with one week of anorexia, halitosis, oral ulcer, intermittent vomiting, acute weight loss and 3-day history of oliguria. The patient was diagnosed with acute on chronic kidney disease and pancreatitis. Hemodialysis was continued three times a week (total 7 sessions) with improved clinical signs and kidney panel, but presented with another episode of abdominal distention, respiratory distress, and large bowel diarrhea. Echocardiography revealed nearly totally occlusive thrombus in the cranial vena cava, as well as a right atrial mass of approximately $2cm{\times}1cm$. The patient was treated with catheter removal, thrombolysis and anticoagulation therapy with recombinant tissue plasminogen activator. During anticoagulation therapy, size of atrial thrombus was not changed and heart function was not improved after treatment. Since clinical signs were deteriorated, the patient was euthanized by owner's request. Catheter-related giant thrombus in right atrium is a rare complication and treatment guideline for atrial thrombus does not exist. This case is first report of hemodialysis catheter-induced thrombus in Korea.

• Journal of Chest Surgery
• /
• 제24권7호
• /
• pp.701-711
• /
• 1991

We experienced 6 cases of primary cardiac tumor, all received operation for removal of tumor. Mean age was 43.8 years-old ranging from 17 years-old to 66 years-old. Five cases were female, one case was male. Five cases were benign, myxoma, all located within left atrium. One case was malignant, angiosarcoma within right atrium. All patient showed cardiac manifestations. One case was in NYHA functional class II, two were in III, three were in IV. Four patients showed constitutional symptoms, but no one showed evidence of embolic phenomenon. All case of myxoma showed cardiomegaly except one malignancy. Only one case was regular sinus rhythm, three were sinus tachycardia 8z two were atrial fibrillation. The most common site of tumor origin was fossa ovalis limbus[four of all]. Two of five myxomas received emergency operation, one patient died postoperatively. Lived four patients showed no evidence of recurrence[mean follow-up, 3,5 years], but one patient has Grade II /IV mitral regurgitation & in OPD follow-up now, One malignant case, 17 years-old cerebral palsy female, was angiosarcoma occupied most of right atrial chamber originated from anterior wall of right atrium, received emergency operation which was removal of mass & reconstruction of right atrium with artificial pericardial patch. This patient died on postoperative 36th day due to persistent LCOS[low cardiac output syndrome] with combined sepsis.

• Journal of Chest Surgery
• /
• 제15권4호
• /
• pp.402-408
• /
• 1982

The primary cardiac tumor was considered as a form of disease with poor prognosis in the past and it was hardly diagnosed before post mortem autopsy. But recent development of diagnostic procedure and the cardiac surgery using extracorporeal circulation increased the accuracy of diagnosis and the opportunity of successful treatment. The authors present two cases of left atrial myxoma which experienced during recent 4 years between 1979 and 1982. A 33 year old woman admitted with severe shortness of breath, generalized edema, ascites and the evidence of hepatopathy resulted from right sided heart failure. Preoperatively, the patient was treated with conservative medication to improve general condition for a few days. The tumor mass was removed successfully under the cardiopulmonary bypass. She, however, died of myocardial dysfunction showing low blood pressure. The tumor mass weighed 22gm and measured 5.2x4.5x3.6 cm in size. A 60 year old man admitted with shortness of breath on exertion and an episode of fainting. Following the removal of tumor mass under the cardiovascular bypass, the clinical course was satisfactory with no complication. The tumor mass weighed 105gm and measured 9x4x5 cm in size.