Yacoub M H, Williams W G, Ahmad A
Thorax. 1968 May;23(3):261-5. doi: 10.1136/thx.23.3.261.
Two cases of strangulation of the heart following left intrapericardial pneumonectomy are described. The condition presents in the immediate post-operative period by sudden fall of blood pressure associated with a high central venous pressure. The diagnosis is usually made by the characteristic radiographic appearances. Actual strangulation of the ventricles is more common on the left side and can lead to irreversible damage in a short time. The predisposing and precipitating factors are discussed with special reference to prevention. Treatment of the established case is by emergency thoracotomy and reduction of the herniated heart. Recurrence is prevented by repairing the defect or wide excision of the pericardium.
本文描述了两例左心室内心包内肺切除术后心脏绞窄的病例。这种情况在术后即刻表现为血压突然下降并伴有中心静脉压升高。诊断通常依据特征性的影像学表现做出。心室的实际绞窄在左侧更为常见，可在短时间内导致不可逆的损害。文中特别参考预防措施讨论了易感因素和促发因素。对于已确诊的病例，治疗方法是紧急开胸并将疝出的心脏复位。通过修复缺损或广泛切除心包来预防复发。
