Miyata Y, Oomiya T, Hirate Y, Sawazaki M, Takagi Y, Oohara Y, Ito T, Ishihara T
Kyobu Geka. 1989 Apr;42(4):307-10.
A 54-year-old man who had undergone the left ventricular aneurysmectomy and double saphenous vein bypass grafting for the old myocardial infarction suffered from the pericardial abscess 6 years after the first operation. He was operated upon the persistent drainage of the lesion and returned to his daily life. Two years after the 2nd operation, he recognized pulsatile bleeding from the fistula and was admitted to our hospital. He underwent the radical operation for the cardio cutaneous fistula under the cardiopulmonary bypass. The post operative course was uneventful and he has continued to do well. We discussed the treatment for this kind of complication and stressed the limited usage of Teflon felt and other artificial materials.
一名54岁男性因陈旧性心肌梗死接受了左心室动脉瘤切除术和双大隐静脉搭桥术，首次手术后6年出现心包脓肿。他接受了病变持续引流手术并恢复了日常生活。第二次手术后两年，他发现瘘管有搏动性出血，遂入住我院。他在体外循环下接受了心脏皮肤瘘的根治性手术。术后过程顺利，他一直恢复良好。我们讨论了这种并发症的治疗方法，并强调了特氟龙毡和其他人工材料的有限使用。
