Lee Mu Sook, Choi Joon Hyouk, Kim Young Uck, Kim Su Wan
Department of Diagnostic Radiology, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, 690-767, South Korea.
Department of Cardiology, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, 690-767, South Korea.
Int J Emerg Med. 2014 Sep 30;7:40. doi: 10.1186/s12245-014-0040-5. eCollection 2014.
Constrictive pericarditis is caused by fibrosis and calcification of the pericardium, processes that inhibit diastolic filling of the heart. For the diagnosis of constrictive pericarditis, a combined approach is used to evaluate the morphologic pericardial abnormalities in conjunction with assessment of the functional and hemodynamic changes. We report novel findings of chest computed tomography (CT) and chest roentgenogram with respect to a ring-shaped pericardial calcification on atrioventricular groove causing strangulation of the heart in the patient with constrictive pericarditis, which is anatomically rarer than other severe cases of constrictive pericarditis encasing the entire heart.
缩窄性心包炎是由心包的纤维化和钙化引起的，这些过程会抑制心脏的舒张期充盈。对于缩窄性心包炎的诊断，采用综合方法来评估心包形态学异常，并结合功能和血流动力学变化进行评估。我们报告了胸部计算机断层扫描（CT）和胸部X线片的新发现，即在一名缩窄性心包炎患者中，房室沟处出现环形心包钙化，导致心脏受压，这种解剖学表现比其他包裹整个心脏的严重缩窄性心包炎病例更为罕见。
