Cury P M, Linhares M J, Fiorelli A I, Favarato D, Mansur A J
Heart Institute (InCor), University of São Paulo, Medical School, São Paulo, Brazil.
J Cardiovasc Surg (Torino). 2001 Feb;42(1):57-9.
A 34-year-old man developed severe heart failure due to constrictive pericarditis. Pericardiectomy was carried on and the patient died 12 hours after surgery. Necropsy revealed an extensive hemorrhagic myocardial infarction involving the lateral free wall of the left ventricle in the absence of coronary artery disease. In addition, necropsy revealed tuberculosis as the etiology of constrictive pericarditis. Thus, myocardial infarction may occur in constrictive pericarditis in the setting of pericardiectomy and absence of coronary artery disease.
一名34岁男性因缩窄性心包炎发展为严重心力衰竭。进行了心包切除术，患者术后12小时死亡。尸检显示在无冠状动脉疾病的情况下，广泛出血性心肌梗死累及左心室侧壁。此外，尸检显示缩窄性心包炎的病因是结核病。因此，在进行心包切除术且无冠状动脉疾病的情况下，缩窄性心包炎可能会发生心肌梗死。
