Schofield Richard S, Shoemaker Steven B, Ryerson Eugene G, Cooper Gary R, Spotnitz William D
Malcom Randall Veterans Administration Medical Center, Department of Medicine, University of Florida College of Medicine, Gainesville, USA.
Ann Thorac Surg. 2004 Apr;77(4):1449-51. doi: 10.1016/S0003-4975(03)01151-2.
A 56-year-old man was admitted to our hospital with a diagnosis of suspected constrictive pericarditis. After the diagnosis was confirmed by cardiac catheterization, an elective pericardiectomy was performed without complication. Four days after surgery dyspnea developed in the patient, and he was found to have an acute decrease in left ventricular ejection fraction (LVEF) by echocardiography. The patient's symptoms and the LVEF improved over time and returned to normal 4 weeks after surgery. Transient hemodynamic dysfunction of the left ventricle has previously been reported after pericardiectomy or pericardiocentesis; however, we know of no reports in the literature that confirm an acute reduction in LVEF by echocardiography after pericardiectomy for constrictive pericarditis.
一名56岁男性因疑似缩窄性心包炎入院。经心导管检查确诊后，择期进行心包切除术，未发生并发症。术后4天，患者出现呼吸困难，经超声心动图检查发现左心室射血分数（LVEF）急性下降。患者的症状和LVEF随时间改善，术后4周恢复正常。此前有报道称，心包切除术后或心包穿刺术后会出现左心室短暂的血流动力学功能障碍；然而，据我们所知，文献中尚无关于缩窄性心包炎心包切除术后经超声心动图证实LVEF急性降低的报道。
