一名患有腹部结核的儿童慢性缩窄性心包炎合并巨大右心房血栓形成：一种罕见的危及生命的病症。

Chronic constrictive pericarditis complicated with huge right atrial thrombus in a child with abdominal tuberculosis: a rare life-threatening condition.

作者信息

Kumar Rupesh, Raja Javid, Rawat Sanjib, Srivastava Ayush, Thingnam Shyam Kumar Singh

机构信息

Department of Cardiothoracic and Vascular Surgery, Advanced Cardiac Center, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.

出版信息

J Surg Case Rep. 2019 Nov 6;2019(11):rjz295. doi: 10.1093/jscr/rjz295. eCollection 2019 Nov.

DOI:10.1093/jscr/rjz295

PMID:31723400

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6831956/

Abstract

Chronic constrictive pericarditis (CCP) is the most common pericardial pathology. CCP complicating with intracardiac thrombus is a rare entity, the detection of thrombus preoperatively is life-saving in avoiding the risk of pulmonary thromboembolism during anterior pericardiectomy. Transesophageal echocardiography has been shown to have better sensitivity in detecting atrial thrombus than transthoracic echocardiography. Surgical removal of right atrial thrombus under cardiopulmonary bypass should be considered.

摘要

慢性缩窄性心包炎（CCP）是最常见的心包疾病。CCP合并心内血栓是一种罕见情况，术前检测到血栓对于避免心包剥脱术期间肺血栓栓塞风险具有挽救生命的意义。经食管超声心动图已被证明在检测心房血栓方面比经胸超声心动图具有更高的敏感性。应考虑在体外循环下手术切除右心房血栓。