Risher W H, Rees A P, Ochsner J L, McFadden P M
Department of Surgery, Ochsner Clinic, New Orleans, LA 70121.
Ann Thorac Surg. 1993 Dec;56(6):1390-1. doi: 10.1016/0003-4975(93)90689-f.
Congenital defects of the pericardium are rare. Surgical treatment is recommended to relieve symptoms and to prevent cardiac herniation and strangulation. The case of a symptomatic pericardial defect due to a dynamic obstruction of the coronary arteries is described. The diagnosis was suggested by plain chest film, echocardiography, and cardiac catheterization. Confirmation and successful surgical management were accomplished by video-assisted thoracoscopic pericardiectomy.
先天性心包缺损较为罕见。建议进行手术治疗以缓解症状并预防心脏疝出和绞窄。本文描述了一例因冠状动脉动态梗阻导致的有症状心包缺损病例。通过胸部X线平片、超声心动图和心导管检查提示诊断。通过电视辅助胸腔镜心包切除术得以确诊并成功进行了手术治疗。
