先天性心包缺损

Congenital pericardial defect.

作者信息

Funken J C, d'Udekem d'Acoz Y, Noirhomme P

机构信息

Department of Cardiovascular and Thoracic Surgery, Cliniques Universitaires St-Luc - UCL, 1200, Brussels, Belgium.

出版信息

Cardiovasc Surg. 2002 Dec;10(6):618-9. doi: 10.1016/s0967-2109(02)00066-2.

DOI:10.1016/s0967-2109(02)00066-2

PMID:12453698

Abstract

A 72-yr-old man was electively admitted for cardiac revascularisation 6 weeks after an inaugural inferior infarct. His physical examination and laboratory test were unremarkable. According to his coronarography the patient was programmed for an off pump coronary artery by-pass. During surgery the heart was found to be completely herniated in the left chest, passing on the posterior aspect of the phrenic nerve. Symptomatology and complications of congenital pericardial defects are reviewed.

摘要

一名72岁男性在首次发生下壁心肌梗死后6周因择期进行心脏血管重建术入院。他的体格检查和实验室检查均无异常。根据冠状动脉造影结果，该患者计划进行非体外循环冠状动脉搭桥手术。手术过程中发现心脏完全疝入左胸腔，位于膈神经后方。本文对先天性心包缺损的症状和并发症进行了综述。