Hamdulay Zainul A, Kumar Pawan, Ali Mohammed, Bhojraj Shilpa S, Jain Sanjesh B, Patwardhan Anil M
Department of Cardiovascular Surgery, Prince Aly Khan Hospital, Mumbai, India.
Ann Thorac Surg. 2007 Jun;83(6):2222-4. doi: 10.1016/j.athoracsur.2006.12.053.
We describe an unusual case of a young man presenting with calcific constrictive pericarditis. The patient had a history of restrictive cardiomyopathy and pericardial effusion during infancy and received antituberculous treatment. Investigations revealed the presence of thickened pericardium and a thickened calcific constrictive band around the atrioventricular groove posteriorly and over the infundibulum anteriorly. Intraoperatively, the band caused the heart to have a "dumbbell" appearance. A pericardiectomy was performed along with excision of the constricting band. The patient had an uneventful recovery.
我们描述了一例年轻男性患钙化性缩窄性心包炎的罕见病例。该患者在婴儿期有限制性心肌病和心包积液病史，并接受了抗结核治疗。检查发现心包增厚，在房室沟后方和漏斗部前方有一条增厚的钙化性缩窄带。术中，该带使心脏呈现出“哑铃”状外观。进行了心包切除术并切除缩窄带。患者恢复顺利。
