[心包切除术后35年复发性缩窄性心包炎再次手术病例；病例报告]
[A re-do case of recurrent constrictive pericarditis 35 years after pericardiectomy; report of a case].
作者信息
Okamoto Hironao, Tokunaga Sigehiko, Yasuda Shota, Matsuki Yusuke, Masuda Munetaka
机构信息
Department of Cardiovascular Surgery, Kanagawa Cardiovascular and Respiratory Center, Yokohama, Japan.
出版信息
Kyobu Geka. 2014 Jun;67(6):501-4.
Reports of recurrent constrictive pericarditis are scarce. We report a re-do case of recurrent constrictive pericarditis 35 years after pericardiectomy. The calcified pericardium was thick and severely adhesive. We performed pericardiectomy on pump, using Harmonic Scalpel and rib scissors for a safe and secure operation. The calcified pericardium looked like a crab's shell. The patient was discharged on 14th post-operative day. Long-term follow-up is necessary for this patient.
复发性缩窄性心包炎的报道很少。我们报告一例心包切除术后35年复发性缩窄性心包炎的再次手术病例。钙化的心包增厚且粘连严重。我们在体外循环下进行心包切除术，使用超声刀和肋骨剪以确保手术安全。钙化的心包看起来像螃蟹壳。患者术后第14天出院。该患者需要长期随访。
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