Klein A, Tsokos M, Püschel K
Institut für Rechtsmedizin, Butenfeld 34, 22529 Hamburg, Germany.
Herzschrittmacherther Elektrophysiol. 2006 Sep;17(3):133-6. doi: 10.1007/s00399-006-0524-y.
A 79-year-old man died 3.5 hours after catheter ablation of atrial fibrillation due to pericardial tamponade. Autopsy and consecutive microscopic examinations furnished evidence of electrothermical necroses topographically arranged regularly adjacent to the pulmonary veins in the left atrium and across the area of the isthmus in the right atrium with a rupture of the right atrial wall in the area of a coagulation spot. The post-mortem findings and pathogenetic considerations for the delayed pericardial tamponade are discussed.
一名79岁男性在房颤导管消融术后3.5小时因心包填塞死亡。尸检及连续的显微镜检查发现，左心房肺静脉周围及右心房峡部区域有规律分布的电热坏死灶，右心房壁在一处凝血点区域破裂。本文讨论了迟发性心包填塞的尸检结果及发病机制。
