Sheikhzadeh A H, Tarbiat S, Nazarian I, Aryanpur I, Senning A
Br Heart J. 1979 Aug;42(2):224-8. doi: 10.1136/hrt.42.2.224.
An 18-year old white youth presented with severe right heart failure and was found to have an obliterated and funnel-shaped right ventricle, massive tricuspid regurgitation, and mitral regurgitation. The haemodynamic findings were those of cardiomyopathy with obliteration on the right side. He underwent surgery consisting of decortication and peeling off of a thickened right ventricular endocardium, tricuspid valve replacement, and mitral valve repair. After surgery there was pronounced haemodynamic as well as clinical improvement. The pathological picture was that of constrictive endocarditis. We recommend this method of treatment for patients with obliterate cardiomyopathy on either side of the heart.
一名18岁的白人青年因严重右心衰竭就诊，检查发现右心室闭塞呈漏斗状，伴有大量三尖瓣反流和二尖瓣反流。血流动力学检查结果显示为右侧闭塞性心肌病。他接受了手术，包括剥脱增厚的右心室心内膜、三尖瓣置换和二尖瓣修复。术后血流动力学及临床症状均有明显改善。病理表现为缩窄性心内膜炎。我们建议对心脏任何一侧出现闭塞性心肌病的患者采用这种治疗方法。
