缩窄性心包炎伴房间隔缺损
Constrictive pericarditis with atrial septal defect.
作者信息
Tanoue Yoshihisa, Tomita Yukihiro, Kajiwara Takashi, Tominaga Ryuji
机构信息
Department of Cardiovascular Surgery, Kyushu University, Fukuoka, Japan.
出版信息
Ann Thorac Cardiovasc Surg. 2006 Oct;12(5):373-5.
We report on a case of constrictive pericarditis (CP) with atrial septal defect (ASD) in a 50-year-old man. The combination of CP with ASD is rare and occasionally difficult to diagnose. Transthoracic echocardiography demonstrated ASD, but the finding of a thickened pericardium was poor. Diagnosis was confirmed by cardiac catheterization. Pericardiectomy and direct closure of ASD was performed during cardioplegic arrest under the support of cardiopulmonary bypass. The postoperative course was uneventful with marked improvement in symptoms.
我们报告了一例50岁男性患有缩窄性心包炎（CP）合并房间隔缺损（ASD）的病例。CP合并ASD的情况罕见，且有时难以诊断。经胸超声心动图显示有ASD，但增厚心包的表现不佳。通过心导管检查确诊。在体外循环支持下，心脏停搏期间进行了心包切除术并直接闭合ASD。术后病程平稳，症状明显改善。
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