[多发性骨髓瘤患者使用微创心脏外科手术进行主动脉瓣置换术：病例报告】。］

Q4 Medicine Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2024-08-01

Masashi Kano, Hironobu Shibata, Yuya Hiroshima, Hajime Kinoshita, Fumio Chikugo

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引用次数: 0

摘要

多发性骨髓瘤（MM）是一种预后较差的疾病，目前有关该病并发心脏手术的报道很少，在接受心脏手术时，该病可导致各种围手术期并发症，如凝血功能缺陷导致的出血倾向、血液粘稠度改变、免疫功能低下和骨髓功能不全等。近年来，随着微创心脏手术（MICS）的普及，避免胸骨切开术已成为一种选择。我们报告了一例因主动脉瓣反流并发 MM 而采用 MICS 手术进行主动脉瓣置换的 70 岁男性病例。

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[Aortic Valve Replacement Using Minimally Invasive Cardiac Surgery Procedure in a Patient with Multiple Myeloma:Report of a Case].

Multiple myeloma (MM) is a disease with a poor prognosis, and there are few reports of cardiac surgery complicated by this disease, which can lead to various perioperative complications such as bleeding tendency due to coagulation defects, changes in blood viscosity, immunocompromise, and bone marrow insufficiency when undergoing cardiac surgery. In recent years, with the spread of minimally invasive cardiac surgery (MICS), avoidance of sternotomy has become an option. We present a case of a 70-year-old man who underwent aortic valve replacement using MICS procedure for aortic regurgitation complicated with MM.

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Kyobu geka. The Japanese journal of thoracic surgery Medicine-Medicine (all)

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213