Firstenberg Michael S, Sai-Sudhakar Chittoor B, Raman Subha V, Michler Robert E
Department of Cardiothoracic Surgery, Ohio State University, Columbus, Ohio 43210, USA.
Ann Thorac Surg. 2006 Jan;81(1):352-4. doi: 10.1016/j.athoracsur.2004.08.085.
Congenital hypoplasia of the pericardium is a rare clinical condition that is typically encountered as an incidental finding during routine thoracic imaging or cardiothoracic surgery. Chest pain symptoms, when they occur, are often initially attributed to coronary ischemic syndromes, but herniation of cardiac structures through the pericardial defect, ischemia from torsion of great vessels, or compression of pulmonary parenchyma through defects between the aortic and pulmonary arteries can occur. Careful attention to cannulation techniques, conduit length, and the aberrant course of the phrenic nerves, typically through pericardial fibrous bands, is critical to the successful conduct of cardiac surgery.
先天性心包发育不全是一种罕见的临床病症，通常在常规胸部影像学检查或心胸外科手术中偶然发现。胸痛症状一旦出现，最初往往归因于冠状动脉缺血综合征，但也可能发生心脏结构通过心包缺损处疝出、大血管扭转导致的缺血或主动脉与肺动脉之间的缺损对肺实质造成压迫等情况。在心脏手术的成功实施中，仔细关注插管技术、管道长度以及膈神经的异常走行（通常通过心包纤维带）至关重要。
