Ouzan J, Pommier J L, Carré E, Elaerts J, Bajolet A
Service de Cardiologie, CHU, Reims.
Ann Cardiol Angeiol (Paris). 1993 Apr;42(4):205-8.
A case of pericarditis in a 52-year old patient following aorto-coronary shunt surgery is reported which gradually developed into chronic constrictive pericarditis. In this context, the diagnostic criteria of chronic constrictive pericarditis are recalled. The clinical criteria show little specificity; Doppler ultrasound provides good diagnostic information; CT scans and nuclear magnetic imaging can confirm the diagnostic. The post-heart surgery etiology has increased in recent years. The only real treatment is surgical and consists of pericardial decortication.
报道了一例52岁患者在进行主动脉冠状动脉分流手术后发生心包炎，并逐渐发展为慢性缩窄性心包炎的病例。在此背景下，回顾了慢性缩窄性心包炎的诊断标准。临床标准特异性较低；多普勒超声可提供良好的诊断信息；CT扫描和核磁共振成像可确诊。近年来，心脏手术后病因有所增加。唯一真正的治疗方法是手术，即心包剥脱术。
