Ono Y, Kikuchi S, Takahashi S, Yokoyama H, Maida K, Tanaka S
Department of Cardiovascular Surgery, Aomori Prefectural Central Hospital, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1993 Jul;41(7):1219-22.
A 43-year-old male diagnosed as constrictive pericarditis with dyspnea, fatigability and substantial pericardial calcification on chest roentgenogram underwent pericardiectomy through median sternotomy. The heavily calcified pericardium which was adherent to the anterior and diaphragmatic surface of the heart was successfully resected by the combined use of ultrasonic surgical aspirator (CUSA) and argon beam coagulator (ABC). Intraoperative bleeding was minimal because the adhesion between the pericardium and myocardium, coronary arteries or inferior vena cava were easily dissected with CUSA. Intraoperative hemostasis was also satisfactory with ABC. Perioperative measurements of right ventricular ejection fraction were also effective in evaluating the right ventricular function.
一名43岁男性被诊断为缩窄性心包炎，伴有呼吸困难、疲劳，胸部X线片显示心包大量钙化，通过正中胸骨切开术接受了心包切除术。通过联合使用超声外科吸引器（CUSA）和氩气刀（ABC），成功切除了与心脏前表面和膈面粘连的重度钙化心包。术中出血极少，因为使用CUSA能轻松分离心包与心肌、冠状动脉或下腔静脉之间的粘连。使用ABC进行术中止血效果也令人满意。围手术期对右心室射血分数的测量对评估右心室功能也很有效。
