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三维重建计算机断层扫描显示不完全心包对右心室的压迹

Indentation in the Right Ventricle by an Incomplete Pericardium on 3-Dimensional Reconstructed Computed Tomography.

作者信息

Kim Hak Ju, Kwak Jae Gun

机构信息

Department of Thoracic and Cardiovascular Surgery, Seoul National University Children's Hospital.

出版信息

Korean J Thorac Cardiovasc Surg. 2017 Aug;50(4):298-299. doi: 10.5090/kjtcs.2017.50.4.298. Epub 2017 Aug 5.

DOI:10.5090/kjtcs.2017.50.4.298
PMID:28795038
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5548209/
Abstract

We report the case of a 17-year-old girl who presented with an indentation in the right ventricle caused by an incomplete pericardium on preoperative 3-dimensional reconstructed computed tomography. She was to undergo surgery for a partial atrioventricular septal defect and secundum atrial septal defect. Preoperative electrocardiography revealed occasional premature ventricular beats. We found the absence of the left side of the pericardium intraoperatively, and this absence caused strangulation of the diaphragmatic surface of the right ventricle. After correcting the lesion, the patient's rhythm disturbances improved.

摘要

我们报告了一名17岁女孩的病例，术前三维重建计算机断层扫描显示其右心室因心包不完整而出现凹陷。她因部分房室间隔缺损和继发孔房间隔缺损而准备接受手术。术前心电图显示偶发室性早搏。术中我们发现患者心包左侧缺失，这导致右心室膈面受压。纠正病变后，患者的心律失常得到改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/193f/5548209/d9ff5205ae79/kjtcv-50-298f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/193f/5548209/d9ff5205ae79/kjtcv-50-298f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/193f/5548209/d9ff5205ae79/kjtcv-50-298f1.jpg

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Indentation in the Right Ventricle by an Incomplete Pericardium on 3-Dimensional Reconstructed Computed Tomography.三维重建计算机断层扫描显示不完全心包对右心室的压迹
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本文引用的文献

1
Congenital absence of the pericardium: case presentation and review of literature.先天性心包缺失：病例报告及文献复习
Int J Cardiol. 2005 Jan;98(1):21-5. doi: 10.1016/j.ijcard.2003.10.021.
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Congenital pericardial defect associated with cardiac incarceration: case report.先天性心包缺损合并心脏嵌顿：病例报告
Am Heart J. 1980 Dec;100(6 Pt 1):866-70. doi: 10.1016/0002-8703(80)90068-x.
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Strangulation of the left atrial appendage through a congenital partial pericardial defect.
Chest. 1975 Mar;67(3):354-5. doi: 10.1378/chest.67.3.354.