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冠状动脉搭桥术后的短暂性缩窄性心包炎

Transient constrictive pericarditis after coronary bypass surgery.

作者信息

Kim Jae-Bum, Park Nam-Hee, Choi Sae-Young, Kim Hyungseop

机构信息

Department of Thoracic and Cardiovascular Surgery, Dongsan Medical Center, College of Medicine, Keimyung University, Korea.

出版信息

Korean J Thorac Cardiovasc Surg. 2011 Feb;44(1):64-7. doi: 10.5090/kjtcs.2011.44.1.64. Epub 2011 Feb 12.

Abstract

Constrictive pericarditis is a rare complication after coronary artery bypass grafting In most cases pericardiectomy is required as a definitive treatment. However, there are several types of constrictive pericarditis such as transient cardiac constriction. Some types of constrictive pericarditis can only be managed with medical therapy. We report a 72-year-old female patient who developed subacute transient constrictive pericarditis with persistent left pleural effusion as a result of postcardiac injury syndrome. The patient went through coronary bypass surgery that was successfully treated with postoperative steroid therapy.

摘要

缩窄性心包炎是冠状动脉旁路移植术后一种罕见的并发症。在大多数情况下,心包切除术是必要的确定性治疗方法。然而,缩窄性心包炎有几种类型,如短暂性心脏缩窄。某些类型的缩窄性心包炎仅用药物治疗即可。我们报告一名72岁女性患者,她因心脏损伤后综合征出现亚急性短暂性缩窄性心包炎并伴有持续性左侧胸腔积液。该患者接受了冠状动脉搭桥手术,并通过术后类固醇治疗成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6125/3249276/7c80488c2324/kjtcs-44-64-g001.jpg

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