Tanaka H, Kadoba K, Mitsuno M, Chang J C, Nakano S, Matsuda H
First Department of Surgery, Osaka University Medical School, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1992 Jun;40(6):996-1000.
We presented a 62-year-old female with constrictive pericarditis of an unusual anatomy. A calcified constrictive band, 2-3 cm wide, ran parallel to the frontal plane, coursing circularly along the anterior aspect of the great arteries, right atrium, diaphragmatic surface of the right ventricle, posterolateral aspect of the left ventricle and back to the great arteries. The course of the constrictive band was circular but completely different from that of typical annular constrictive pericarditis in which a constrictive band runs along the atrioventricular groove. Hemodynamic consequences of our patient was rather non-specific impairment of ventricular filling than functional valvular stenoses due to external compression characteristic for the typical annular constrictive pericarditis. Effective surgical relief of the constriction was accomplished under cardiopulmonary bypass and cardioplegic cardiac arrest.
我们报告了一名62岁患有特殊解剖结构缩窄性心包炎的女性患者。一条2 - 3厘米宽的钙化缩窄带平行于额平面，沿大动脉前方、右心房、右心室膈面、左心室后外侧绕行，然后回到大动脉。缩窄带的走行呈环形，但与典型的环形缩窄性心包炎完全不同，后者的缩窄带沿房室沟走行。该患者的血流动力学后果是心室充盈的非特异性损害，而非典型环形缩窄性心包炎特有的外部压迫导致的功能性瓣膜狭窄。在体外循环和心脏停搏下成功实施了有效的缩窄解除手术。
