Wood D E, Crumbley A J, Pereira N L
Division of Cardiology, Department of Medicine, Medical University of South Carolina, Charleston, South Carolina 29425-5799 , USA.
Heart. 2002 Aug;88(2):183-4. doi: 10.1136/heart.88.2.183.
A 39 year old man with postoperative constrictive pericarditis after pericardiectomy developed major left ventricular systolic dysfunction with an anterior wall infarct pattern on ECG but no regional wall motion abnormalities by echocardiography or serum enzymatic evidence of a myocardial infarction. The left ventricular dysfunction resolved over two weeks with supportive treatment. It is postulated that this patient's transient left ventricular dysfunction and ECG changes were caused by myocardial inflammation and oedema induced by operative trauma during pericardiectomy.
一名39岁男性在心包切除术后发生缩窄性心包炎,出现严重左心室收缩功能障碍,心电图显示前壁梗死图形,但超声心动图未发现节段性室壁运动异常,也无血清酶学证据提示心肌梗死。经支持治疗,左心室功能在两周内恢复。据推测,该患者短暂的左心室功能障碍和心电图改变是由心包切除术期间手术创伤引起的心肌炎症和水肿所致。