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自发性乳糜性心脏压塞:一例报告

Spontaneous chylous cardiac tamponade: a case report.

作者信息

Barbetakis Nikolaos, Asteriou Christos, Konstantinou Dimitrios, Giannoglou Dimitrios, Tsilikas Christodoulos, Giannoglou Georgios

机构信息

Cardiothoracic Surgery Department, Theagenio Cancer Hospital, Al, Symeonidi 2, Thessaloniki, Greece, 54007.

出版信息

J Cardiothorac Surg. 2010 Mar 17;5:11. doi: 10.1186/1749-8090-5-11.

DOI:10.1186/1749-8090-5-11
PMID:20236535
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2848034/
Abstract

BACKGROUND

Chylous cardiac tamponade is a rare condition with little known cause.

CASE PRESENTATION

A case of an otherwise healthy woman who admitted with dyspnea and palpitations is presented. She had a history of a painful flexion-hyperextension of the spine. Diagnostic evaluation proved a chylous pericardial effusion with a disruption of the anterior longitudinal spinal ligament. Video-assisted thoracic surgery with mass supradiaphragmatic ligation of the thoracic duct and pericardial window formation was carried out successfully and resulted in the complete cure of the patient's condition.

CONCLUSION

Chylous pericardial effusion and subsequent tamponade is a rare entity. Endoscopic surgery is offering a safe and effective treatment.

摘要

背景

乳糜性心脏压塞是一种罕见疾病,病因鲜为人知。

病例报告

本文介绍了一名原本健康的女性患者,因呼吸困难和心悸入院。她有脊柱屈伸过度疼痛病史。诊断评估证实为乳糜性心包积液,伴有前纵韧带断裂。成功实施了电视辅助胸腔镜手术,进行胸导管膈上肿块结扎和心包开窗术,患者病情完全治愈。

结论

乳糜性心包积液及随后的心脏压塞是一种罕见病症。内镜手术提供了一种安全有效的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/381c/2848034/a3fbd0c1dc30/1749-8090-5-11-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/381c/2848034/13778037aa21/1749-8090-5-11-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/381c/2848034/a3fbd0c1dc30/1749-8090-5-11-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/381c/2848034/13778037aa21/1749-8090-5-11-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/381c/2848034/a3fbd0c1dc30/1749-8090-5-11-2.jpg

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