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特发性左心室心动过速射频消融术后的心包损伤综合征

Postcardiac injury syndrome following radiofrequency ablation of idiopathic left ventricular tachycardia.

作者信息

Zheng Liang Rong, Hu Xiaosheng, Xia Shudong, Chen Yao

机构信息

Department of Cardiology, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.

出版信息

J Interv Card Electrophysiol. 2007 Apr;18(3):269-71. doi: 10.1007/s10840-007-9089-x. Epub 2007 Apr 21.

Abstract

A 73-year-old man, who was admitted to our hospital with idiopathic ventricular tachycardia, underwent radiofrequency catheter ablation(RFCA) without any immediate signs of complications. He complained of sudden onset of chest pain shortly after the RFCA procedure. The diagnosis of PCIS was supported by slight fever, pericardial effusion, bilateral pleural effusion and elevated inflammatory markers. One should be aware of PCIS since there will be increasing performance of RFCA procedures and patients may present with this previously rare postoperative complications.

摘要

一名73岁男性因特发性室性心动过速入住我院,接受了射频导管消融术(RFCA),术后未出现任何即刻并发症迹象。在RFCA术后不久,他突然出现胸痛。轻微发热、心包积液、双侧胸腔积液以及炎症指标升高支持了心包切开术后综合征(PCIS)的诊断。由于RFCA手术的实施将会越来越多,且患者可能会出现这种以前罕见的术后并发症,因此人们应该对PCIS有所认识。

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