心脏移植术后的纵隔和心包并发症。并非不常见的术后问题？

Mediastinal and pericardial complications after heart transplantation. Not-so-unusual postoperative problems?

作者信息

Carrier M, Hudon G, Paquet E, Leung T K, White M, Pelletier G B, Pelletier L C

机构信息

Department of Surgery, Montreal Heart Institute, Quebec, Canada.

出版信息

Cardiovasc Surg. 1994 Jun;2(3):395-7.

PMID:8049983

Abstract

Of a total of 133 patients who underwent heart transplantation, 16(12%) had pericardial and mediastinal complications. Non-infectious pericardial complications, pericardial effusion and constriction were noted in ten patients, and infectious pericarditis or mediastinitis in six. Cardiac echocardiography, catheterization and magnetic resonance imaging were useful in assessing these problems. All patients underwent surgical treatment, pericardial drainage, pericardectomy or muscle flap closure. Twelve (75%) of these 16 patients are long-term survivors. In conclusion, pericardial and mediastinal complications are common after heart transplantation, and aggressive surgical treatment is most often effective in their control.

摘要

在总共133例接受心脏移植的患者中，16例（12%）出现了心包和纵隔并发症。10例患者出现了非感染性心包并发症、心包积液和缩窄，6例出现了感染性心包炎或纵隔炎。心脏超声心动图、心导管检查和磁共振成像在评估这些问题时很有用。所有患者均接受了手术治疗，包括心包引流、心包切除术或肌瓣闭合术。这16例患者中有12例（75%）是长期存活者。总之，心包和纵隔并发症在心脏移植后很常见，积极的手术治疗通常对控制这些并发症有效。