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[缩窄性心包炎合并冠状动脉疾病的外科治疗病例报告]

[A case report of surgical treatment of constrictive pericarditis with coronary artery disease].

作者信息

Kudaka M, Koja K, Kuniyoshi Y, Akasaki M, Miyagi K, Kusaba A

机构信息

Second Department of Surgery, University of the Ryukyus, Okinawa, Japan.

出版信息

Nihon Kyobu Geka Gakkai Zasshi. 1997 Nov;45(11):1880-3.

PMID:9430971
Abstract

We performed the concomitant operation for constrictive pericarditis and coronary artery disease in an octogenarian. A 82-year-old male was hospitalized with dyspnea, edema of the lower extremities and pleural effusion on chest X-ray film. Cardiac catheterization revealed constrictive pericarditis and 75% stenosis of left anterior descending artery. Extensive pericardiectomy was performed including posterior wall of left ventricle and left atrium under the beating heart by using femoro-femoral partial bypass. Single CABG with a saphenous vein graft was performed following pericardiectomy. Postoperative cardiac catheterization showed good recovery of hemodynamics and patency of the bypass graft. Postoperative course was uneventful. The patient was discharged on twenty fifth postoperative day.

摘要

我们为一位八旬老人同时进行了缩窄性心包炎和冠状动脉疾病的手术。一名82岁男性因呼吸困难、下肢水肿以及胸部X光片显示有胸腔积液而住院。心导管检查显示为缩窄性心包炎,左前降支动脉狭窄75%。在心脏跳动下,通过股-股部分体外循环进行了广泛的心包切除术,包括左心室后壁和左心房。心包切除术后进行了单根大隐静脉移植冠状动脉旁路移植术(CABG)。术后心导管检查显示血流动力学恢复良好,旁路移植血管通畅。术后过程顺利。患者于术后第25天出院。

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