医源性心包缺损导致的迟发性心脏绞窄

Late cardiac strangulation due to an iatrogenic pericardial defect.

作者信息

Ohshima H, Takeuchi H, Yamaguchi T, Takanashi R, Tsunoda K

机构信息

Center for Cardiovascular Disease, Mitsui Memorial Hospital, Tokyo, Japan.

出版信息

Chest. 1993 Sep;104(3):977-8. doi: 10.1378/chest.104.3.977.

DOI:10.1378/chest.104.3.977

PMID:8365331

Abstract

A 14-year-old boy developed broad posterolateral myocardial infarction. During cardiac surgery at age five, a small pericardial window had been made. Autopsy revealed an extensive left-sided pericardial defect and necrosis of the left ventricular free wall, which had herniated and strangulated through the enlarged pericardial defect.

摘要

一名14岁男孩发生广泛的后外侧心肌梗死。5岁时心脏手术曾做过一个小的心包开窗。尸检发现广泛的左侧心包缺损以及左心室游离壁坏死，左心室游离壁已通过扩大的心包缺损处疝出并受绞窄。