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有组织的心包内血肿:创伤两年后导致心力衰竭的罕见原因。

Organized intrapericardial haematoma: a rare cause of heart failure after 2 years of trauma.

作者信息

Chamsi-Pasha Mohammed A R, Anwar Ashraf M, Nosir Youssef F M, Ajam Aref, Abukhudair Walid, Ashmeg Abdullah, Chamsi-Pasha Hassan

机构信息

King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.

出版信息

Eur J Echocardiogr. 2011 Jan;12(1):E1. doi: 10.1093/ejechocard/jeq094. Epub 2010 Aug 12.

Abstract

Intrapericardial organized haematoma secondary to blunt chest trauma is an extremely rare cause of constrictive pericarditis. We report a 30-year-old male who presented with heart failure for 12 months and was found to have an organized intrapericardial haematoma secondary to blunt chest trauma in a road traffic accident 2 years prior. The use of multiple imaging modalities including two-dimensional (transthoracic and transoesophageal) echocardiogram and cardiac magnetic resonance imaging established the diagnosis. Surgical excision of the haematoma and removal of the constricting pericardium relieved his symptoms.

摘要

钝性胸部创伤继发的心包内机化血肿是缩窄性心包炎极为罕见的病因。我们报告一名30岁男性,因心力衰竭12个月就诊,发现其继发于两年前道路交通事故钝性胸部创伤的心包内机化血肿。通过使用包括二维(经胸和经食管)超声心动图及心脏磁共振成像在内的多种影像学检查手段得以确诊。手术切除血肿并去除缩窄的心包缓解了他的症状。

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