[术后纵隔血肿致右心房外压性休克。右心房假瘤样超声心动图图像]

[Shock secondary to extrinsic compression of the right atrium by postoperative mediastinal hematoma. Pseudotumor echocardiography image in right atrium].

作者信息

Jordán A J, García M, Santos F, González M, Gómez J, García De Burgos F

机构信息

Sección de Cardiología.Servicio de Cirugía Cardiovascular, Hospital de Alicante, Spain.

出版信息

Rev Esp Cardiol. 2001 Mar;54(3):396-8. doi: 10.1016/s0300-8932(01)76319-1.

DOI:10.1016/s0300-8932(01)76319-1

PMID:11262378

Abstract

We present the case of a 64 year-old patient in whom an aortic Saint Jude prosthesis, a Cosgrove's mitral annulus and triple coronary artery by-pass graft were implanted, and who presented with shock related to extrinsic compression of the right atrium by a mediastinal hematoma within the first postoperative month. Transthoracic echocardiogram showed a right atrial <>, hampering right atrium drainage. The extrapericardial location of the hematoma is of note and was diagnosed with the aid of thoracic computerized tomography. We present the case of a 64 year-old patient in whom an aortic Saint Jude prosthesis, a Cosgrove's mitral annulus and triple coronary artery by-pass graft were implanted, and who presented with shock related to extrinsic compression of the right atrium by a mediastinal hematoma within the first postoperative month. Transthoracic echocardiogram showed a right atrial <>, hampering right atrium drainage. The extrapericardial location of the hematoma is of note and was diagnosed with the aid of thoracic computerized tomography.

摘要

我们报告一例64岁患者，其植入了主动脉圣犹大瓣膜、科斯格罗夫二尖瓣环和三支冠状动脉搭桥移植物，术后第一个月因纵隔血肿对右心房的外在压迫而出现休克。经胸超声心动图显示右心房有一个“假性肿块”，阻碍了右心房引流。血肿位于心包外，这一点值得注意，通过胸部计算机断层扫描得以诊断。我们报告一例64岁患者，其植入了主动脉圣犹大瓣膜、科斯格罗夫二尖瓣环和三支冠状动脉搭桥移植物，术后第一个月因纵隔血肿对右心房的外在压迫而出现休克。经胸超声心动图显示右心房有一个“假性肿块”，阻碍了右心房引流。血肿位于心包外，这一点值得注意，通过胸部计算机断层扫描得以诊断。