Division of Cardiology, University of Toronto, Toronto, Ontario, Canada.
Department of Cardiac Sciences, University of Calgary, Calgary, Alberta, Canada.
ESC Heart Fail. 2020 Oct;7(5):3213-3214. doi: 10.1002/ehf2.12926. Epub 2020 Aug 6.
We present the case of a 55-year-old female marathon runner who presented with progressive exercise intolerance and was diagnosed with effusive-constrictive pericarditis. Stereotypical findings of this challenging diagnosis are shown by transthoracic echocardiographic and right heart catheterization. We treated the patient with a parietal pericardiectomy and pericardial waffle procedure to relieve a thick and constrictive epicardium.
我们报告了一例 55 岁女性马拉松跑者,她因进行性运动不耐受就诊,被诊断为渗出性缩窄性心包炎。经胸超声心动图和右心导管检查显示了这种具有挑战性的诊断的典型表现。我们通过心包剥离术和心包瓦夫尔手术治疗患者,以松解增厚和缩窄的心外膜。