D'Cruz I A, Pallas C W, Heck A
Department of Medicine, (Cardiology Section), Medical College of Georgia, Augusta.
South Med J. 1991 Nov;84(11):1375-7. doi: 10.1097/00007611-199111000-00022.
Two weeks after coronary artery bypass surgery, a 43-year-old man was readmitted with fever, pneumonia, left pleural effusion, and pericarditis. Echocardiography showed a localized posterior pericardial effusion, pericardial thickening, and bulging of the ventricular septum toward the left ventricle. Right-sided catheterization indicated pericardial constriction. Effusive-constrictive pericarditis was confirmed at surgery. Cardiac imaging played an important role in diagnosis of this unusual complication of cardiac surgery.
冠状动脉搭桥手术后两周，一名43岁男性因发热、肺炎、左侧胸腔积液和心包炎再次入院。超声心动图显示心包后部局限性积液、心包增厚以及室间隔向左心室膨出。右侧心导管检查提示心包缩窄。手术证实为渗出性缩窄性心包炎。心脏成像在诊断这种心脏手术的罕见并发症中发挥了重要作用。
