Aqel Raed A, Aljaroudi Wael, Hage Fadi G, Tallaj Jose, Rayburn Barry, Nanda Navin C
Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Echocardiography. 2008 Jul;25(6):658-61. doi: 10.1111/j.1540-8175.2008.00661.x.
A 61-year-old white female, a Jehovah's Witness, with severe pulmonary hypertension, presented with worsening heart failure symptoms. She had a pericardial effusion with left ventricular (LV) diastolic collapse on transthoracic echocardiography. She was not a candidate for surgical pericardial window and therefore underwent pericardiocentesis and percutaneous balloon pericardiotomy with remarkable improvement in her clinical condition and with no recurrence of the effusion. LV diastolic collapse, an atypical presentation of cardiac tamponade, is commonly seen in postoperative patients with localized pericardial effusions. However, outside the surgical setting, isolated LV diastolic collapse is rare. Our case is one of the first cases described in the literature of LV diastolic collapse in the setting of severe pulmonary hypertension treated successfully with pericardiocentesis and percutaneous balloon pericardiotomy.
一名61岁的白人女性，耶和华见证会成员，患有严重的肺动脉高压，出现心力衰竭症状加重。经胸超声心动图显示她有心包积液伴左心室（LV）舒张期塌陷。她不适合进行外科心包开窗术，因此接受了心包穿刺术和经皮球囊心包切开术，临床状况显著改善，积液未复发。LV舒张期塌陷是心脏压塞的一种非典型表现，常见于术后有局限性心包积液的患者。然而，在手术环境之外，孤立的LV舒张期塌陷很少见。我们的病例是文献中首次描述的在严重肺动脉高压情况下经心包穿刺术和经皮球囊心包切开术成功治疗LV舒张期塌陷的病例之一。
