心包切除术后复发性心脏缩窄。

Recurrent cardiac constriction after complete pericardiectomy.

机构信息

Division of Cardiac Surgery, University of Ottawa Heart Institute, University of Ottawa, Canada.

出版信息

Heart Lung Circ. 2011 Dec;20(12):766-8. doi: 10.1016/j.hlc.2011.04.037. Epub 2011 Jun 2.

DOI:10.1016/j.hlc.2011.04.037

Abstract

We present a patient with recurrent constrictive physiology resulting from exuberant post-operative fibrosis after complete pericardiectomy. The patient underwent a repeat stripping procedure. At surgery, there was an extensive fibrotic and calcified rind around the heart. The recurrence of constriction physiology after complete pericardiectomy in non-tuberculous pericarditis is a rarely reported in literature. The management supports repeat surgery and the potential value of steroid administration.

摘要

我们报告了一例患者，其在完整的心包切除术（pericardiectomy）后因过度的术后纤维化而出现反复发作的缩窄性生理（constrictive physiology）。该患者接受了重复剥离手术（stripping procedure）。术中发现心脏周围有广泛的纤维化和钙化硬壳。非结核性心包炎患者在完整的心包切除术后发生缩窄性生理的复发，在文献中鲜有报道。该病例的治疗支持重复手术（repeat surgery），并可能需要使用类固醇（steroid）药物。