Pick R A, Joswig B C, Bloor C M
Arch Intern Med. 1984 Oct;144(10):2061-3.
Dependent edema, ascites, and exertional dyspnea developed in a patient seven months after pericardiectomy for constrictive pericarditis. Cardiac catheterization documented constrictive physiology. At the second operation, he was found to have extensive mediastinal fibrosis that encased the heart. Postmortem examination showed a fibrocartilagenous exoskeleton that encased both ventricles. Possible etiologies for this unusual reconstriction are discussed.
一名患者在因缩窄性心包炎行心包切除术后七个月出现了依赖性水肿、腹水和劳力性呼吸困难。心导管检查证实存在缩窄性生理改变。在第二次手术时，发现他有广泛的纵隔纤维化，包绕着心脏。尸检显示有一个纤维软骨性外骨骼包绕着两个心室。讨论了这种不寻常的再缩窄的可能病因。
