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冠状动脉旁路手术后缩窄性心包炎完全消退。

Complete resolution of constrictive pericarditis after coronary bypass surgery.

机构信息

National Heart Institute, Department of Cardiothoracic Surgery, 50400 Kuala Lumpur, Malaysia.

National Heart Institute, Department of Cardiology, 50400 Kuala Lumpur, Malaysia.

出版信息

Med J Malaysia. 2021 Sep;76(5):747-749.

Abstract

Classical constrictive pericarditis (CP) is an unusual and rare complication after coronary artery bypass grafting. It can be transient, progressive or fixed form of cardiac constriction. However recently recognized transient variant of constrictive pericarditis can be managed with medical therapy, though other progressive and irreversible forms may require pericardiectomy. We describe a 65-year-old male patient who developed a classical but a very early transient CP, just within two weeks as a result of post cardiac injury syndrome after coronary bypass surgery. The patient had a complete recovery following medical treatment.

摘要

经典缩窄性心包炎(CP)是冠状动脉旁路移植术后一种不常见且罕见的并发症。它可以是短暂的、进行性的或固定形式的心脏缩窄。然而,最近发现的短暂性缩窄性心包炎变异可以通过药物治疗来控制,尽管其他进行性和不可逆转的形式可能需要心包切除术。我们描述了一位 65 岁男性患者,他在冠状动脉旁路手术后两周内由于心脏损伤综合征而发生了经典但非常早期的短暂 CP。患者在接受药物治疗后完全康复。

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