Rafiq Sulman, Meldgaard Camilla Wium, Buchvald Frederik, Brandt Bodil
Rigshospitalet, Thoraxkirurgisk Afdeling RT 2152, og Dansk Børne Lungecenter, Paediatrisk Afdeling I, Denmark.
Ugeskr Laeger. 2010 Feb 15;172(7):547-8.
Congenital defects of the pericardium are very rare and are often not recognized before surgery. We report a case study of a 16-year-old girl with a four-year history of dyspnoea on exertion, palpitations, left sided thoracic pain and near-syncope. Explorative thoracotomy revealed total absence of the left sided pericardium. This allows the heart to become displaced, thus giving the patient her uncharacteristic symptoms. The large defect was left open, to avoid compromising the venous circulation.
先天性心包缺损非常罕见，常在手术前未被识别。我们报告一例16岁女孩的病例研究，她有四年劳力性呼吸困难、心悸、左侧胸痛和接近晕厥的病史。 exploratory thoracotomy显示左侧心包完全缺失。这使得心脏移位，从而导致患者出现非典型症状。大的缺损未予闭合，以避免影响静脉循环。 （注：原文中“Explorative thoracotomy”拼写有误，可能是“Exploratory thoracotomy”，意为“ exploratory thoracotomy”，翻译为“ exploratory thoracotomy”）
