Wood Mark A, Ellenbogen Kenneth A, Hall Jeffery, Kay G Neal
Medical College of Virginia, Box 980053, Richmond, VA 23298-0053, USA.
J Interv Card Electrophysiol. 2003 Aug;9(1):55-7. doi: 10.1023/a:1025376605807.
Post-pericardiotomy syndrome may occur after traumatic insults to the pericardium but has not been reported after radiofrequency catheter (RF) ablation. A 54 year old man underwent extensive linear left atrial RF ablation for chronic atrial fibrillation. Five days after the procedure the patient developed signs and symptoms of the post-pericardiotomy syndrome and showed new, intense pericardial inflammation on magnetic resonance imaging. After intensive medical management, the patient recovered fully. It is believed that the patient experienced a unique complication of linear left atrial ablation, i.e., post-pericardiotomy syndrome due to extensive left atrial necrosis or direct thermal pericardial injury.
心包切开术后综合征可能发生于心包受到创伤性损伤后，但射频导管（RF）消融术后尚未见报道。一名54岁男性因慢性心房颤动接受了广泛的左心房线性射频消融术。术后5天，患者出现了心包切开术后综合征的体征和症状，磁共振成像显示有新的、强烈的心包炎症。经过强化药物治疗，患者完全康复。据信，该患者经历了左心房线性消融的一种独特并发症，即由于广泛的左心房坏死或直接的热心包损伤导致的心包切开术后综合征。
