Cura Leandro, Dayan Victor, Cristar Florencia, Soca Gerardo
Department of Cardiac Surgery, National Institute for Cardiac Surgery (INCC), Montevideo, Uruguay.
Interact Cardiovasc Thorac Surg. 2012 Jul;15(1):166-8. doi: 10.1093/icvts/ivs122. Epub 2012 Apr 6.
Cardiac involvement in Churg-Strauss syndrome is common and represents the main cause of mortality. We report the case of a patient with Churg-Strauss vasculitis, mitral regurgitation with left ventricular dysfunction, paroxysmal atrial fibrillation and refractory angina with non-significant coronary lesions. Cardiac denervation was proposed as an associated procedure to treat angina. The total removal of peri-adventitial and adventitial tissue around the superior vena cava, ascending aorta and main pulmonary trunk was performed. After 3 months of follow-up, the patient was angina-free and could resume his normal lifestyle.
心脏受累在变应性肉芽肿性血管炎中很常见,是主要的死亡原因。我们报告了一例患有变应性肉芽肿性血管炎、二尖瓣反流伴左心室功能障碍、阵发性心房颤动和冠状动脉病变不显著的难治性心绞痛患者。心脏去神经支配被提议作为治疗心绞痛的相关手术。对上腔静脉、升主动脉和主肺动脉周围的外膜周围组织和外膜组织进行了完全切除。经过3个月的随访,患者无心绞痛发作,能够恢复正常生活方式。